Seiya Watanabe    Department   Kawasaki Medical School  Kawasaki Medical School, Department of Bone and Joint Surgery,    Position   Instructor
Article types	原著
Language	English
Peer review	Peer reviewed
Title	Investigation of Radiation Exposure of Medical Staff During Lateral Fluoroscopy for Posterior Spinal Fusion Surgery.
Journal	Formal name：Journal of clinical medicine Abbreviation：J Clin Med ISSN code：20770383/20770383
Domestic / Foregin	Foregin
Volume, Issue, Page	13(21),pp.6442
Author and coauthor	Seiya Watanabe, Kazuo Nakanishi, Masakatsu Mura, Ato Yutori, Go Hitomi, Kazuya Uchino, Hideaki Iba, Yoshihisa Sugimoto, Shigeru Mitani
Authorship	Lead author
Publication date	2024/10/27
Summary	Background/Objectives: In spinal surgery, it is especially crucial to insert implants in the correct location. Intraoperative fluoroscopy is often necessary to safely perform spinal surgery because of serious complications that can occur if the screw deviates. However, the use of intraoperative fluoroscopy comes at the cost of radiation exposure to the surgeons and operating room staff. Therefore, it is desirable for spinal surgeons to understand the characteristics of radiation in order to minimize patient and medical staff exposure. This study aimed to create an aerial radiation dose distribution map for lateral fluoroscopy, a commonly used technique for posterior spinal fusion. Methods: A human body-equivalent phantom was placed in a prone position on the Jackson Table. The measurement method used was a lateral fluoroscopic evaluation, assuming posterior spinal fusion. Measurements were taken at three levels: 80 (gonadal), 100 (thoracoabdominal), and 150 cm (lens and thyroid). Results: The highest radiation doses were received by primary surgeons. The scrub nurse was the next most exposed. Conclusions: We developed an aerial dose distribution map for lateral fluoroscopy in posterior spinal fusion. Radiation exposure was the highest among primary surgeons.
DOI	10.3390/jcm13216442
PMID	39518581