Collimation Reduces Radiation Exposure to the Surgeon in Endoscopic Spine Surgery: A Prospective Study

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dc.authorid0000-0001-7937-7203en_US
dc.authorid-en_US
dc.authorscopusid12764000800en_US
dc.authorscopusid57219905526en_US
dc.authorwosid-en_US
dc.authorwosidAAI-6168-2021en_US
dc.contributor.authorErken, H. Yener
dc.contributor.authorYılmaz, Onur
dc.date.accessioned2023-05-08T11:10:04Z
dc.date.available2023-05-08T11:10:04Z
dc.date.issued2022en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground and Study Aims  There are no previous studies in the literature comparing the radiation dose to which surgeons are exposed while using a standard fluoroscopy versus collimation during transforaminal percutaneous endoscopic lumbar diskectomy (PELD). The aim of this study is to compare this and to evaluate the effectiveness of collimation in reducing radiation exposure. Methods  In this study, the operating surgeon (single surgeon) placed a gamma radiation dosimeter on his chest outside of the lead apron during transforaminal PELD surgeries and measured the radiation exposure immediately after each surgery. As foraminoplasty using free-hand reamers is a longer procedure and requires more fluoroscopy shots, we divided the patients into two groups. The first group consisted of 24 patients (nonforaminoplasty group). The second group consisted of 13 patients (foraminoplasty group). We compared the radiation exposure to the operating surgeon using a standard fluoroscopy versus collimation for each group individually and overall. We randomized the patients within each group based on the order in which they had their respective procedures. Results  We analyzed 39 patients who underwent transforaminal PELD between May and December 2019. In both groups, as well as overall, the recorded radiation exposure to the surgeon was significantly lower in surgeries in which collimation was used. In the first group, the radiation dose was 0.083 versus 0.039 mSv per surgery (p = 0.019), whereas in the second group, it was 0.153 versus 0.041 mSv per surgery (p = 0.001), and overall it was 0.108 versus 0.039 mSv per surgery (p < 0.001). Conclusion  The use of collimation during transforaminal PELD significantly reduces spine the surgeon's exposure to radiation. Therefore, spine surgeons should consider using collimation during transforaminal PELD.en_US
dc.identifier.citationErken, H. Y., & Yilmaz, O. (2022). Collimation reduces radiation exposure to the surgeon in endoscopic spine surgery: A prospective study. Journal of Neurological Surgery, Part A: Central European Neurosurgery, 83(1), 6-12. doi:10.1055/s-0041-1726111en_US
dc.identifier.doi10.1055/s-0041-1726111
dc.identifier.endpage12en_US
dc.identifier.issn2193-6315
dc.identifier.issn2193-6323
dc.identifier.issue1en_US
dc.identifier.pmid34030187
dc.identifier.scopus2-s2.0-85107043768
dc.identifier.startpage6en_US
dc.identifier.urihttps://doi.org/10.1055/s-0041-1726111
dc.identifier.urihttps://hdl.handle.net/20.500.12428/4072
dc.identifier.volume83en_US
dc.identifier.wosWOS:000653337200005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorErken, Hüseyin Yener
dc.institutionauthorYılmaz, Onur
dc.language.isoen
dc.publisherGeorg Thieme Verlagen_US
dc.relation.ispartofJournal of Neurological Surgery, Part A: Central European Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCollimationen_US
dc.subjectPELDen_US
dc.subjectRadiation exposureen_US
dc.subjectSpine surgeryen_US
dc.titleCollimation Reduces Radiation Exposure to the Surgeon in Endoscopic Spine Surgery: A Prospective Study
dc.typeArticle

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