Radiation exposure to the surgeon and the patient during kyphoplasty

Journal of Spinal Disorders and Techniques

Volumn 21, Issue 2, 2008, Pages 96-100

  Mroz, Thomas E ^a,b   Yamashita, Takayuki ^a   Davros, William J ^a   Lieberman, Isador H ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b NONE   (United States)

Author keywords

Fluoroscopic guided procedure; Kyphoplasty; Occupational limit; Radiation exposure

Indexed keywords

LEAD;

ADULT; AGED; ALGORITHM; ARTICLE; CLINICAL ARTICLE; FLUOROSCOPY; HAND; HUMAN; KYPHOPLASTY; MULTIPLE MYELOMA; OSTEOPOROSIS; PEROPERATIVE CARE; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RADIATION SHIELD; SPINAL CORD METASTASIS; STATISTICAL SIGNIFICANCE; SURGEON; THERMOLUMINESCENCE DOSIMETER; VERTEBRA; VERTEBRA FRACTURE;

AGED; AGED, 80 AND OVER; FELLOWSHIPS AND SCHOLARSHIPS; FILM DOSIMETRY; FLUOROSCOPY; HUMANS; INTERNSHIP AND RESIDENCY; INTRAOPERATIVE PERIOD; MEDICAL STAFF; MIDDLE AGED; OCCUPATIONAL EXPOSURE; PROSPECTIVE STUDIES; RADIATION DOSAGE; SPINAL FRACTURES; SURGERY; VERTEBROPLASTY;

EID: 41949113413     PISSN: 15360652     EISSN: None     Source Type: Journal    
DOI: 10.1097/BSD.0b013e31805fe9e1     Document Type: Article

References (20)

1. Lieberman IH, Dudeney S, Reinhardt MK, et al. Initial outcome and efficacy of "kyphoplasty" in the treatment of painful osteoporotic vertebral compression fractures. Spine. 2001;26:1631-1638.
2. Fuchs M, Schmid A, Eiteljorge T, et al. Exposure of the surgeon to radiation during surgery. Int Orthop. 1998;22:153-156.
3. Levin PE, Schoen RW Jr, Browner BD. Radiation exposure to the surgeon during closed interlocking intramedullary nailing. J Bone Joint Surg Am. 1987;69:761-766.
4. Barry TP. Radiation exposure to an orthopedic surgeon. Clin Orthop Relat Res. 1984;160-164.
5. Miller ME, Davis ML, MacClean CR, et al. Radiation exposure and associated risks to operating-room personnel during use of fluoroscopic guidance for selected orthopaedic surgical procedures. J Bone Joint Surg Am. 1983;65:1-4.
6. Goldstone KE, Wright IH, Cohen B. Radiation exposure to the hands of orthopaedic surgeons during procedures under fluoroscopic X-ray control. Br J Radiol. 1993;66:899-901.
7. Larson BJ, Egbert J, Goble EM. Radiation exposure during fluoroarthroscopically assisted anterior cruciate reconstruction. Am J Sports Med. 1995;23:462-464.
8. Synowitz M, Kiwit J. Surgeon's radiation exposure during percutaneous vertebroplasty. J Neurosurg Spine. 2006;4:106-109.
9. Kallmes DF, O E, Roy SS, et al. Radiation dose to the operator during vertebroplasty: prospective comparison of the use of 1-cc syringes versus an injection device. AJNR Am J Neuroradiol. 2003;24:1257-1260.
10. Kruger R, Faciszewski T. Radiation dose reduction to medical staff during vertebroplasty: a review of techniques and methods to mitigate occupational dose. Spine. 2003;28:1608-1613.
11. Mehdizade A, Lovblad KO, Wilhelm KE, et al. Radiation dose in vertebroplasty. Neuroradiology. 2004;46:243-245.
12. Harstall R, Heini PF, Mini RL, et al. Radiation exposure to the surgeon during fluoroscopically assisted percutaneous vertebroplasty: a prospective study. Spine. 2005;30:1893-1898.
13. Theocharopoulos N, Perisinakis K, Damilakis J, et al. Occupational exposure from common fluoroscopic projections used in orthopaedic surgery. J Bone Joint Surg Am. 2003;85-A:1698-1703.
14. Perisinakis K, Damilakis J, Theocharopoulos N, et al. Patient exposure and associated radiation risks from fluoroscopically guided vertebroplasty or kyphoplasty. Radiology. 2004;232:701-707.
15. Boszczyk BM, Bierschneider M, Panzer S, et al. Fluoroscopic radiation exposure of the kyphoplasty patient. Eur Spine J. 2006;15:347-355.
16. National Cancer Institute. Interventional fluoroscopy: reducing radiation risks for patients and staff [National Cancer Institute Web site]. April 18, 2005. Available at: http://www.cancer.gov/images/Documents/45bae965-697a-4de8- 9dae-b77222e0e79d/Interventional-Fluor.pdf. Accessed 01/05, 2007.
17. Wagner LK, Archer BR. Minimizing Risks From Fluoroscopic X Rays; Bioeffects, Instrumentation, and Examination. 3rd ed. The Woodlands, TX: Partners in radiation management; 2000.
18. Mahesh M. Fluoroscopy: patient radiation exposure issues. Radiographics. 2001;21:1033-1045.
19. National Council on Radiation Protection and Measurements. Radiation protection in educational institutions [National Council on Radiation Protection and Measurements Web site]. July, 2006. Available at: http://www.ncrponline. org/Docs_in_Review/NCRP0640.pdf. Accessed 01/05, 2007.
20. Ortiz AO, Natarajan V, Gregorius DR, et al. Significantly reduced radiation exposure to operators during kyphoplasty and vertebroplasty procedures: Methods and techniques. AJNR Am J Neuroradiol. 2006;27:989-994.