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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 4

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Cir Columna 2025; 3 (4)

Radiation exposure of the spine surgeon. Analysis by the SILACO research team

Bazán PL, Moyano J, Pereira P, Muscia R, Jiménez ÁJM, Diez UMA, Duchén RLM, Yurac R, Menezes C

Language: Spanish
References: 24
Page: 246-252
PDF size: 199.88 Kb.


ABSTRACT

Introduction: the use of radioscopy in practices performed by spinal surgeons is increasingly common, but it is not free from adverse events to patients or health personnel. Objective: to know the rate of use of radioscopy in vertebral surgery; to evaluate the use of protective elements, recognize control measures, analyze adverse events and assess the surgeon's assimilation of protective elements. Material and methods: survey of 27 questions to Ibero-American spinal surgeons. Results: 519 responses, where 63% have high dedication to spinal pathology. The C-arc is the most widely used intraoperative control method, mainly for level marking. 59% of the respondents use intraoperative rays more than once a week, pulsatile but with low time control. The most commonly used one-piece protective apron, associated with thyroid protection; 80% do not know when they should be renewed. 54% use dosimeters. There were 93 confirmed cases of visual disorders, 28 thyroid pathologies, 39 dermatitis, 16 cases of infertility and one oncohematological disease; 6.74% of the surgeons were surgically treated for these problems. Conclusions: radioscopic control is a common practice. The one-piece leaded apron is the most widely used method. 34% of the respondents present a related adverse event. There is little adherence and control in specialist surgeons.


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