ArticleJournal of spine surgery (Hong Kong)2019
A protective method to reduce radiation exposure to the surgeon during endoscopic lumbar spine surgery.
Article in Journal of spine surgery (Hong Kong), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Real-time phase-dependent occupational radiation exposure analysis in full-endoscopic spine surgery.Scientific reports · 2026Article
- The Fluoroscopy Paradox: Radiation Exposure, Dose Optimization, and Occupational Risk in Full-Endoscopic and Biportal Spine Surgery-A Narrative Review.Journal of clinical medicine · 2026Review
- The Utilization of Navigation and Emerging Technologies With Endoscopic Spine Surgery: A Narrative Review.Neurospine · 2025Article
- Evolution of Cervical Endoscopic Spine Surgery: Current Progress and Future Directions-A Narrative Review.Journal of clinical medicine · 2024Review
- A new protective method to reduce radiation exposure.Journal of spine surgery (Hong Kong) · 2020Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndoscopic lumbar spine surgery is a minimally invasive technique that requires intraoperative fluoroscopic imaging. Fluoroscopy is a source of ionizing radiation, and exposure of the surgeon to this radiation has a risk for radiation-induced morbidities. To reduce this radiation exposure, we developed a protective method that can be used during endoscopic lumbar spine surgery. The purpose of the study was to determine the effectiveness of this method.
methodsA prospective interventional study was performed, in which the primary outcome was radiation exposure to the surgeon [Sievert (Sv)] per case. This was measured using a radiation badge at the levels of the neck, chest, and abdomen on the surface of a protector for the surgeon in 18 endoscopic lumbar spine surgeries, including 9 each with the radiation protection method and the conventional method. Data were also collected for age, gender, body mass index, operative side, and total fluoroscopy time. Primary outcomes were compared in cases that used the radiation protection method and the conventional method.
resultsThe mean radiation exposures to the surgeon at the neck, chest, and abdomen were 1.0, 0.8 and 0.7 µSv, respectively, using the radiation protection method, and 3.2, 10.8, and 10.2 µSv, respectively, using the conventional method. The differences in exposure at all three points were significant (P=0.013, P<0.001, P<0.001, respectively).
conclusionsThese results show the effectiveness of the radiation protection method developed to reduce exposure of the surgeon to radiation during endoscopic lumbar spine surgery.
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