Computer navigation in balloon kyphoplasty reduces the intraoperative radiation exposure

Spine

Volumn 34, Issue 12, 2009, Pages 1325-1329

  Izadpanah, Kaywan ^a,b   Konrad, Gerhard ^a   Südkamp, Norbert P ^a   Oberst, Michael ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

^b NONE   (Germany)

Author keywords

Balloon kyphoplasty; Computer navigation; DAP; Radiation dose

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; COMPUTER SYSTEM; CONTROLLED STUDY; FEMALE; FLUOROSCOPY; FRAGILITY FRACTURE; HUMAN; INTRAOPERATIVE PERIOD; KYPHOPLASTY; LUMBAR SPINE; MALE; OPERATION DURATION; PRIORITY JOURNAL; RADIATION EXPOSURE; SPINE FRACTURE; SPINE SURGERY; SURGEON; SURGICAL TECHNIQUE; THORACIC SPINE;

AGED; AGED, 80 AND OVER; BALLOON DILATATION; FEMALE; FLUOROSCOPY; HUMANS; INTRAOPERATIVE COMPLICATIONS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; NEURONAVIGATION; OSTEOPOROSIS; RADIATION DOSAGE; RADIATION INJURIES; RETROSPECTIVE STUDIES; SPINAL FRACTURES; SPINE; THORACIC VERTEBRAE; TIME FACTORS; TREATMENT OUTCOME; VERTEBROPLASTY;

EID: 67651159010     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e3181a18529     Document Type: Article

References (20)

1. Kasperk C, Hillmeier J, Noldge G, et al. Treatment of painful vertebral fractures by kyphoplasty in patients with primary osteoporosis: a prospective nonrandomized controlled study. J Bone Miner Res 2005;20:604-612 (Pubitemid 40393068)
2. Meeder PJ, DaFonseca K, Hillmeier J, et al. Kyphoplasty and vertebroplasty in fractures in the elderly: effort and effect [in Germany]. Chirurg 2003;74: 994-999 (Pubitemid 38270111)
3. 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 (Pubitemid 39100251)
4. Perisinakis K, Theocharopoulos N, Damilakis J, et al. Estimation of patient dose and associated radiogenic risks from fluoroscopically guided pedicle screw insertion. Spine 2004;29:1555-1560 (Pubitemid 38943840)
5. Huda W, Vance A. Patient radiation doses from adult and pediatric CT. AJR 2007;188:540-546 (Pubitemid 46170754)
6. 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 (Pubitemid 37129603)
7. 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 (Pubitemid 36877099)
8. 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 (Pubitemid 41208837)
9. von Boetticher H, Lachmund J, Hoffmann W, et al. Optimizing staff radiation protection in radiology by minimizing the effective dose [in Germany]. Rofo 2006;178:287-291 (Pubitemid 43381908)
10. Ohnsorge JA, Siebert CH, Schkommodau E, et al. Minimally-invasive computer-assisted fluoroscopic navigation for kyphoplasty [in Germany]. Z Orthop Ihre Grenzgeb 2005;143:195-203. (Pubitemid 40812826)
11. Slomczykowski M, Roberto M, Schneeberger P, et al. Radiation dose for pedicle screw insertion. Fluoroscopic method versus computer-assisted surgery. Spine 1999;24:975-82; discussion 83. (Pubitemid 29222617)
12. Tarantino U, Cannata G, Lecce D, et al. Incidence of fragility fractures. Aging Clin Exp Res 2007;19:7-11.
13. Taylor RS, Taylor RJ, Fritzell P. Balloon kyphoplasty and vertebroplasty for vertebral compression fractures: a comparative systematic review of efficacy and safety. Spine 2006;31:2747-2755 (Pubitemid 44673389)
14. Miller DL. Patient radiation dose from vertebroplasty and kyphoplasty. Radiology 2005;234:970-971
15. Boszczyk BM, Bierschneider M, Panzer S, et al. Fluoroscopic radiation exposure of the kyphoplasty patient. Eur Spine J 2006;15:347-355 (Pubitemid 43327670)
16. Le Heron JC. Estimation of effective dose to the patient during medical x-ray examinations from measurements of the dose-area product. Phys Med Biol 1992;37:2117-2126
17. Jenny JY, Miehlke RK, Giurea A. Learning curve in navigated total knee replacement: a multi-centre study comparing experienced and beginner centres. Knee 2008;15:80-84
18. Arand M, Hartwig E, Kinzl L, et al. Spinal navigation in tumor surgery of the thoracic spine: first clinical results. Clin Orthop Relat Res 2002:211-218 (Pubitemid 34596116)
19. Novak EJ, Silverstein MD, Bozic KJ. The cost-effectiveness of computer-assisted navigation in total knee arthroplasty. J Bone Joint Surg Am 2007; 89:2389-2397 (Pubitemid 350086327)
20. Slover JD, Tosteson AN, Bozic KJ, et al. Impact of hospital volume on the economic value of computer navigation for total knee replacement. J Bone Joint Surg Am 2008;90:1492-1500