ArticleCureus2025
Radiation Exposure and Surgeon Safety During Minimally Invasive Spine Surgery in the Absence of Neuronavigation: A UK Single-Centre Retrospective Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Utilization of an Ultrasonography-Computed Tomography Fusion System in the Lumbar Spine.International journal of spine surgery · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive spine (MIS) surgery has evolved significantly during the past decades; however, it remains dependent on fluoroscopic imaging in many centres throughout the world. Substantial radiation exposure to the patient and surgeon is inevitable in these procedures. The aim of this study is to assess whether MIS surgery without neuro-navigation (NN) leads to excessive radiation exposure.
methodsWe retrospectively analysed all spinal instrumented cases performed at a Level 1 Trauma Centre during a 12-month period. Number of X-rays and radiation generated were measured for both open and MIS cases and compared based on type of procedure and number of levels fused. Dose area product (DAP) dose registered at the end of the case by the X-ray machine. Body Mass Index (BMI) was also analysed to assess the impact it has on X-ray tissue penetration.
resultsIn total, 141 instrumented thoracolumbar spinal cases were recorded, 57 MIS and 84 open, with a mean patient age of 55.8 and 57.5 years respectively. Mean BMI was 27.8 for the MIS group and 27.4 for the open group. For MIS cases, a mean of 192.3 X-rays were performed for each case, compared to 89.4 for open cases, while the dose calculated was 0.96 mGym2 for MIS, compared to 0.37 mGym2 for open.
conclusionMIS procedures without the use of NN carry a high risk of radiation exposure to the surgeon. Future research should focus on identifying barriers to the widespread adoption of NN.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.