Incidence of X-rays exposure in spinal surgeries

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Pedro Luis Bazán
Roberto Muscia
Joaquin Gomez Cano
Jossy Corrales Pinto
Álvaro Enrique Borri
Martín Medina
Nicolás Maximiliano Ciccioli

Abstract

AbstractBackground: Intraoperative radiographic control (IRC) is an increasingly common practice, but it causes certain adverse events for healthcare providers.Objectives: To measure the use of fluoroscopy in spinal surgery, recognize control measures, evaluate assimilation of protection elements by surgeons, and analyze adverse events for spinal surgeons.Materials and Methods: A survey of 17 multiple-choice questions was e-mailed to spinal surgeons.Results: 55 surveys were answered. More than 60% of surgeons were spinal surgeons. The C-arm is the most widely used machine for final control by pulsating X-rays. Real-time controls are carried out in 31% of cases. One-piece leaded aprons are the most commonly used method, but it is unknown when they should be replaced. Half of the respondents uses more than one protection element. There were seven cases of vision changes, 5 of thyroid disorders, 3 of dermatitis, and 2 of infertility. Three surgeons required surgery for thyroid nodules, cataracts or neoplasm.Conclusions: IRC is a common practice in spinal surgery. One-piece leaded aprons are the most commonly used method and they are often combined with other elements, but it is not known when aprons must be replaced. One in 3 surgeons suffered from the studied conditions, and there were 3 related surgeries. Lack of adequate protection and control is a reality for specialist surgeons, together with a lack of protocols, making this an unregulated issue.

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How to Cite
Bazán, P. L., Muscia, R., Gomez Cano, J., Corrales Pinto, J., Borri, Álvaro E., Medina, M., & Ciccioli, N. M. (2019). Incidence of X-rays exposure in spinal surgeries. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 84(3), 208-215. https://doi.org/10.15417/issn.1852-7434.2019.84.3.884
Section
Clinical Research
Author Biographies

Pedro Luis Bazán, HIGA San Martín La Plata, Buenos Aires, Argentina Hospital Italiano La Plata, Buenos Aires, Argentina

Especialista Certificado en Cirugía de Columna Vertebral.Ayudante Diplomado Rentado de Ortopedia y Traumatologia FCsMs UNLP, Buenos Aires, ArgentinaDirector del Curso Post Básico en Patología de la Columna Vertebral del adulto. FCsMs UNLP, Buenos Aires, ArgentinaJefe de Unidad de Patología Espinal del Hospital Italiano de La Plata.Jefe de Sala de Ortopedia y Traumatología del HIGA "San Martín"La Plata, Buenos Aires, ArgentinaEspecialista Certificado en Ortopedia y Traumatología de la AAOTEspecialista Jerarquizado en Ortopedia y traumatología del Colegio de Médico Distrito I

Roberto Muscia, Sanatorio Julio Mendez, Ciudad Autónoma de Buenos Aires, Argentina

Especialista Certificado en Cirugía de Columna Vertebral.Profesor Titular de Catedra de Ortopedia y Traumatologia Jefe de Servicio de Ortopedia y Traumatología del Sanatorio Julio Mendez, Ciudad Autónoma de Buenos Aires, ArgentinaEspecialista Certificado en Ortopedia y Traumatología de la AAOT 

Joaquin Gomez Cano, HIGA San Martín La Plata, Buenos Aires, Argentina

Residente de Ortopedia y Traumatología en rotación Curricular en la UPE San Martín, Buenos Aires, Argentina

Jossy Corrales Pinto, Hospital del Obrero 4 - Oruro, Bolivia

Residente de Ortopedia y Traumatología en Hospital Obrero 4 rn (Oruro, Bolivia) Rotación Extracurricular.

Álvaro Enrique Borri, HIGA San Martín La Plata, Buenos Aires, Argentina Hospital Italiano La Plata, Buenos Aires, Argentina

Especialista Certificado en Cirugía de Columna Vertebral.Ayudante Diplomado Rentado de Ortopedia y Traumatologia FCsMs UNLP, Buenos Aires, ArgentinaJefe de Unidad de Patología Espinal del HIGA "San Martín"La Plata, Buenos Aires, ArgentinaEspecialista Certificado en Ortopedia y Traumatología de la AAOTEspecialista Jerarquizado en Ortopedia y traumatología del Colegio de Médico Distrito I

Martín Medina, HIGA San Martín La Plata, Buenos Aires, La Plata Hospital Italiano La Plata, Buenos Aires, Argentina

Especialista Certificado en Cirugía de Columna Vertebral.Ayudante Diplomado Rentado de Ortopedia y Traumatologia FCsMs UNLP, Buenos Aires, Argentina.Especialista Certificado en Ortopedia y Traumatología de la AAOTEspecialista Certficado en Ortopedia y traumatología del Colegio de Médico Distrito I

Nicolás Maximiliano Ciccioli, HIGA San Martín La Plata, Buenos Aires, Argentina. Hospital Italiano La Plata, Buenos Aires, Argentina.

Ayudante Diplomado Ad Honorem de Ortopedia y Traumatologia FCsMs UNLP, Buenos Airs, ArgentinaEspecialista Certificado en Ortopedia y Traumatología de la AAOTEspecialista en Ortopedia y traumatología del Colegio de Médico Distrito I

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