Seminars in Spine Surgery
Volume 20, Issue 3 , Pages 181-185, September 2008

Techniques to Minimize Intraoperative Radiation Exposure

  • R. Bryan Butler, MD
  • ,
  • Kornelis A. Poelstra, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Kornelis A. Poelstra, MD, PhD, Department of Orthopaedics, University of Maryland–Shock Trauma, 22 S. Greene Street, Suite 11B, Baltimore, MD 21201

Department of Orthopaedics, University of Maryland–Shock Trauma, Baltimore, MD

published online 28 July 2008.

The use of fluoroscopic visualization during spinal procedures may subject both the patient and the surgical team to considerable amounts of X-rays. A number of factors are known to influence the radiation doses administered to these individuals, many of which are related to the specific settings of the C-arm such as beam energy, collimation, and tube current, whereas others involve external variables including proper positioning of the image intensifier, protective shielding, and the implementation of appropriate monitoring protocols. By incorporating these safety measures, it may be possible to achieve significant reductions in the exposures of the patient and surgeon alike.

Keywords: radiation, exposure, minimize, spine, intraoperative, fluoroscopy

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PII: S1040-7383(08)00047-6

doi:10.1053/j.semss.2008.06.004

Seminars in Spine Surgery
Volume 20, Issue 3 , Pages 181-185, September 2008