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Published in: BMC Musculoskeletal Disorders 1/2014

Open Access 01-12-2014 | Technical advance

Significantly reduced radiation dose to operators during percutaneous vertebroplasty using a new cement delivery device

Authors: Guang-Quan Zhang, Yan-Zheng Gao, Shu-Lian Chen, Shuai Ding, Kun Gao

Published in: BMC Musculoskeletal Disorders | Issue 1/2014

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Abstract

Background

Percutaneous vertebroplasy (PVP) might lead to significant radiation exposure to patients, operators, and operating room personnel. Therefore, radiaton exposure is a concern. The aim of this study was to present a remote control cement delivery device and study whether it can reduce dose exposue to operators.

Methods

After meticulous preoperative preparation, a series of 40 osteoporosis patients were treated with unilateral approach PVP using the new cement delivery divice. We compared levels of fluoroscopic exposure to operator standing on different places during operation. group A: operator stood about 4 meters away from X-ray tube behind the lead sheet. group B: operator stood adjacent to patient as using conventional manual cement delivery device.

Results

During whole operation process, radiation dose to the operator (group A) was 0.10 ± 0.03 (0.07-0.15) μSv, group B was 12.09 ± 4.67 (10–20) μSv. a difference that was found to be statistically significant (P < 0.001) between group A and group B.

Conclusion

New cement delivery device plus meticulous preoperative preparation can significantly decrease radiation dose to operators.
Appendix
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Literature
1.
go back to reference Kruger R, Faciszewski T: Radiation dose reduction to medical staff during vertebroplasty: a review of techniques and methods to mitigate occupational dose. Spine. 2003, 28: 1608-1613.PubMed Kruger R, Faciszewski T: Radiation dose reduction to medical staff during vertebroplasty: a review of techniques and methods to mitigate occupational dose. Spine. 2003, 28: 1608-1613.PubMed
2.
go back to reference Li YY, Huang TJ, Cheng CC, Wu MH, Lee CY: Comparing radiation exposure during percutaneous vertebroplasty using one- vs. two-fluoroscopic technique. BMC Musculoskelet Disord. 2013, 14: 38-CrossRefPubMedPubMedCentral Li YY, Huang TJ, Cheng CC, Wu MH, Lee CY: Comparing radiation exposure during percutaneous vertebroplasty using one- vs. two-fluoroscopic technique. BMC Musculoskelet Disord. 2013, 14: 38-CrossRefPubMedPubMedCentral
3.
go back to reference Mroz TE, Yamashita T, Davros WJ, Liberman IH: Radiation exposure to the surgeon and the patient during kyphoplasty. J Spinal Disord Tech. 2008, 21: 96-100.CrossRefPubMed Mroz TE, Yamashita T, Davros WJ, Liberman IH: Radiation exposure to the surgeon and the patient during kyphoplasty. J Spinal Disord Tech. 2008, 21: 96-100.CrossRefPubMed
4.
go back to reference Panizza D, Barbieri M, Parisoli F, Moro L: Patient radiation exposure during different kyphoplasty techniques. Radiat Prot Dosimetry. 2014, 158: 230-234.CrossRefPubMed Panizza D, Barbieri M, Parisoli F, Moro L: Patient radiation exposure during different kyphoplasty techniques. Radiat Prot Dosimetry. 2014, 158: 230-234.CrossRefPubMed
5.
go back to reference Boszczyk BM, Bierschneider M, Panzer S, Panzer W, Harstall R, Schmid K, Jaksche H: Fluoroscopic radiation exposure of the kyphoplasty patient. Eur Spine J. 2006, 15: 347-355.CrossRefPubMed Boszczyk BM, Bierschneider M, Panzer S, Panzer W, Harstall R, Schmid K, Jaksche H: Fluoroscopic radiation exposure of the kyphoplasty patient. Eur Spine J. 2006, 15: 347-355.CrossRefPubMed
6.
go back to reference Izadpanah K, Konrad G, Südkamp NP, Oberst M: Computer navigation in balloon kyphoplasty reduces the intraoperative radiation exposure. Spine. 2009, 34: 1325-1329.CrossRefPubMed Izadpanah K, Konrad G, Südkamp NP, Oberst M: Computer navigation in balloon kyphoplasty reduces the intraoperative radiation exposure. Spine. 2009, 34: 1325-1329.CrossRefPubMed
7.
go back to reference Ortiz AO, Natarajan V, Gregorius DR, Pollack S: Significantly reduced radiation exposure to operators during kyphoplasty and vertebroplasty procedures: methods and techniques. AJNR. 2006, 27: 989-994.PubMed Ortiz AO, Natarajan V, Gregorius DR, Pollack S: Significantly reduced radiation exposure to operators during kyphoplasty and vertebroplasty procedures: methods and techniques. AJNR. 2006, 27: 989-994.PubMed
8.
go back to reference Heini PF, Walchli B, Berlemann U: Percutaneous transpedicular vertebro-plasty with PMMA: operative technique and early results—a prospectivestudy for the treatment of osteoporotic compression fractures. Eur Spine J. 2000, 9: 445-450.CrossRefPubMedPubMedCentral Heini PF, Walchli B, Berlemann U: Percutaneous transpedicular vertebro-plasty with PMMA: operative technique and early results—a prospectivestudy for the treatment of osteoporotic compression fractures. Eur Spine J. 2000, 9: 445-450.CrossRefPubMedPubMedCentral
9.
go back to reference Harstall R, Heini PF, Mini RL, Orler R: Radiation exposure to the surgeon during fluoroscopically assisted percutaneous vertebroplasty a prospective study. Spine. 2005, 30: 1893-1898.CrossRefPubMed Harstall R, Heini PF, Mini RL, Orler R: Radiation exposure to the surgeon during fluoroscopically assisted percutaneous vertebroplasty a prospective study. Spine. 2005, 30: 1893-1898.CrossRefPubMed
10.
go back to reference Nguyen-Kim L, Fargeot C, Beaussier H, Payen S, Chiras J: Evaluation of operator radioprotection using a new injection device during vertebroplasty. Interv Neuroradiol. 2013, 19: 173-179.PubMedPubMedCentral Nguyen-Kim L, Fargeot C, Beaussier H, Payen S, Chiras J: Evaluation of operator radioprotection using a new injection device during vertebroplasty. Interv Neuroradiol. 2013, 19: 173-179.PubMedPubMedCentral
11.
go back to reference Schils F, Schoojans W, Struelens L: The surgeon’s real dose exposure during balloon kyphoplasty procedure and evaluation of the cement delivery system: a prospective study. Eur Spine J. 2013, 22: 1758-1764.CrossRefPubMedPubMedCentral Schils F, Schoojans W, Struelens L: The surgeon’s real dose exposure during balloon kyphoplasty procedure and evaluation of the cement delivery system: a prospective study. Eur Spine J. 2013, 22: 1758-1764.CrossRefPubMedPubMedCentral
Metadata
Title
Significantly reduced radiation dose to operators during percutaneous vertebroplasty using a new cement delivery device
Authors
Guang-Quan Zhang
Yan-Zheng Gao
Shu-Lian Chen
Shuai Ding
Kun Gao
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2014
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-15-260

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