Significant reduction of fluoroscopy repetition with lumbar localization system in minimally invasive spine surgery: A prospective study
The conventional location methods for minimally invasive spinal surgery (MISS) were mainly based on repeated fluoroscopy in a trial-and-error manner preoperatively and intraoperatively. Localization system mainly consisted of preoperative applied radiopaque frame and intraoperative guiding device, w...
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| Veröffentlicht in: | Medicine (Baltimore) 2017-05, Vol.96 (21), p.e6684-e6684 |
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| creator | Fan, Guoxin Zhang, Hailong Gu, Xin Wang, Chuanfeng Guan, Xiaofei Fan, Yunshan He, Shisheng |
| description | The conventional location methods for minimally invasive spinal surgery (MISS) were mainly based on repeated fluoroscopy in a trial-and-error manner preoperatively and intraoperatively. Localization system mainly consisted of preoperative applied radiopaque frame and intraoperative guiding device, which has the potential to minimize fluoroscopy repetition in MISS. The study aimed to evaluate the efficacy of a novel lumbar localization system in reducing radiation exposure to patients.Included patients underwent minimally invasive transforaminal lumbar interbody fusion (MISTLIF) or percutaneous transforaminal endoscopic discectomy (PTED). Patients treated with novel localization system were regarded as Group A, and patients treated without novel localization system were regarded as Group B.For PTED, The estimated effective dose was 0.41 ± 0.13 mSv in Group A and 0.57 ± 0.14 mSv in Group B (P |
| doi_str_mv | 10.1097/MD.0000000000006684 |
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| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5457849</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>28538369</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2850-e2b7aabd0fb4ff64e4a52a0a9ad54cf8fcab95eda87aa35247b4dca7b79d1c553</originalsourceid><addsrcrecordid>eNpdUd2O1CAUJkbjjqtPYGJ4ga6UQilemGx2_Ut244V6TU4pzKC0NEBnUp_Ax5ad0c0qF4fA93POyYfQy5pc1ESK17fXF-TBaduOPUKbmjdtxWXLHqMNIZRXQgp2hp6l9J2QuhGUPUVntONN17Ryg359cdvJWadhyjiaYdHZhQkHi61fQgxJh3ktwGyyOyIHl3fYL2MPEfugwbufcATSmrIZsZvw6CY3gvdreewhub3BaXZTqUvcmri-wZd4LtazKc3uwLwM63P0xIJP5sWf-xx9e__u69XH6ubzh09XlzeVLkOTytBeAPQDsT2ztmWGAadAQMLAmbad1dBLbgboCq3hlImeDRpEL-RQa86bc_T25Dsv_WgGbaYcwas5lpHjqgI49S8yuZ3ahr3ijIuOyWLQnAx0WSFFY--1NVF3wajba_V_MEX16mHbe83fJAqBnQiH4LOJ6YdfDiaqnQGfd0c_LiStKKkF4bQlVfmpSfMbVdugJg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Significant reduction of fluoroscopy repetition with lumbar localization system in minimally invasive spine surgery: A prospective study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Wolters Kluwer Open Health</source><source>IngentaConnect Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Fan, Guoxin ; Zhang, Hailong ; Gu, Xin ; Wang, Chuanfeng ; Guan, Xiaofei ; Fan, Yunshan ; He, Shisheng</creator><creatorcontrib>Fan, Guoxin ; Zhang, Hailong ; Gu, Xin ; Wang, Chuanfeng ; Guan, Xiaofei ; Fan, Yunshan ; He, Shisheng</creatorcontrib><description><![CDATA[The conventional location methods for minimally invasive spinal surgery (MISS) were mainly based on repeated fluoroscopy in a trial-and-error manner preoperatively and intraoperatively. Localization system mainly consisted of preoperative applied radiopaque frame and intraoperative guiding device, which has the potential to minimize fluoroscopy repetition in MISS. The study aimed to evaluate the efficacy of a novel lumbar localization system in reducing radiation exposure to patients.Included patients underwent minimally invasive transforaminal lumbar interbody fusion (MISTLIF) or percutaneous transforaminal endoscopic discectomy (PTED). Patients treated with novel localization system were regarded as Group A, and patients treated without novel localization system were regarded as Group B.For PTED, The estimated effective dose was 0.41 ± 0.13 mSv in Group A and 0.57 ± 0.14 mSv in Group B (P < .001); the fluoroscopy exposure time of PTED was 22.18 ± 7.30 seconds in Group A and 30.53 ± 7.56 seconds in Group B (P < .001); The estimated cancer risk of radiation exposure was 22.68 ± 7.38 (10) in Group A and 31.20 ± 7.96 (10) in Group B (P < .001). For MISTLIF, the estimated effective dose was 0.45 ± 0.09 mSv in Group A and 0.58 ± 0.09 mSv in Group B (P < .001); The fluoroscopy exposure time was 25.41 ± 5.52 seconds in Group A and 32.82 ± 5.03 seconds in Group B (P < .001); The estimated cancer risk was 24.90 ± 5.15 (10) in Group A and 31.96 ± 5.04 (10) in Group B (P < .001). There were also significant differences in localization time and operation time between the 2 groups either for MISTLIF or PTED.The lumbar localization system could be a potential protection strategy for minimizing radiation hazards.]]></description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000006684</identifier><identifier>PMID: 28538369</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Diskectomy, Percutaneous ; Female ; Fluoroscopy ; Humans ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Observational Study ; Prospective Studies ; Radiation Dosage ; Radiation Exposure - prevention & control ; Risk ; Spinal Fusion ; Time Factors</subject><ispartof>Medicine (Baltimore), 2017-05, Vol.96 (21), p.e6684-e6684</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2850-e2b7aabd0fb4ff64e4a52a0a9ad54cf8fcab95eda87aa35247b4dca7b79d1c553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457849/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457849/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28538369$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fan, Guoxin</creatorcontrib><creatorcontrib>Zhang, Hailong</creatorcontrib><creatorcontrib>Gu, Xin</creatorcontrib><creatorcontrib>Wang, Chuanfeng</creatorcontrib><creatorcontrib>Guan, Xiaofei</creatorcontrib><creatorcontrib>Fan, Yunshan</creatorcontrib><creatorcontrib>He, Shisheng</creatorcontrib><title>Significant reduction of fluoroscopy repetition with lumbar localization system in minimally invasive spine surgery: A prospective study</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description><![CDATA[The conventional location methods for minimally invasive spinal surgery (MISS) were mainly based on repeated fluoroscopy in a trial-and-error manner preoperatively and intraoperatively. Localization system mainly consisted of preoperative applied radiopaque frame and intraoperative guiding device, which has the potential to minimize fluoroscopy repetition in MISS. The study aimed to evaluate the efficacy of a novel lumbar localization system in reducing radiation exposure to patients.Included patients underwent minimally invasive transforaminal lumbar interbody fusion (MISTLIF) or percutaneous transforaminal endoscopic discectomy (PTED). Patients treated with novel localization system were regarded as Group A, and patients treated without novel localization system were regarded as Group B.For PTED, The estimated effective dose was 0.41 ± 0.13 mSv in Group A and 0.57 ± 0.14 mSv in Group B (P < .001); the fluoroscopy exposure time of PTED was 22.18 ± 7.30 seconds in Group A and 30.53 ± 7.56 seconds in Group B (P < .001); The estimated cancer risk of radiation exposure was 22.68 ± 7.38 (10) in Group A and 31.20 ± 7.96 (10) in Group B (P < .001). For MISTLIF, the estimated effective dose was 0.45 ± 0.09 mSv in Group A and 0.58 ± 0.09 mSv in Group B (P < .001); The fluoroscopy exposure time was 25.41 ± 5.52 seconds in Group A and 32.82 ± 5.03 seconds in Group B (P < .001); The estimated cancer risk was 24.90 ± 5.15 (10) in Group A and 31.96 ± 5.04 (10) in Group B (P < .001). There were also significant differences in localization time and operation time between the 2 groups either for MISTLIF or PTED.The lumbar localization system could be a potential protection strategy for minimizing radiation hazards.]]></description><subject>Diskectomy, Percutaneous</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Observational Study</subject><subject>Prospective Studies</subject><subject>Radiation Dosage</subject><subject>Radiation Exposure - prevention & control</subject><subject>Risk</subject><subject>Spinal Fusion</subject><subject>Time Factors</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUd2O1CAUJkbjjqtPYGJ4ga6UQilemGx2_Ut244V6TU4pzKC0NEBnUp_Ax5ad0c0qF4fA93POyYfQy5pc1ESK17fXF-TBaduOPUKbmjdtxWXLHqMNIZRXQgp2hp6l9J2QuhGUPUVntONN17Ryg359cdvJWadhyjiaYdHZhQkHi61fQgxJh3ktwGyyOyIHl3fYL2MPEfugwbufcATSmrIZsZvw6CY3gvdreewhub3BaXZTqUvcmri-wZd4LtazKc3uwLwM63P0xIJP5sWf-xx9e__u69XH6ubzh09XlzeVLkOTytBeAPQDsT2ztmWGAadAQMLAmbad1dBLbgboCq3hlImeDRpEL-RQa86bc_T25Dsv_WgGbaYcwas5lpHjqgI49S8yuZ3ahr3ijIuOyWLQnAx0WSFFY--1NVF3wajba_V_MEX16mHbe83fJAqBnQiH4LOJ6YdfDiaqnQGfd0c_LiStKKkF4bQlVfmpSfMbVdugJg</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Fan, Guoxin</creator><creator>Zhang, Hailong</creator><creator>Gu, Xin</creator><creator>Wang, Chuanfeng</creator><creator>Guan, Xiaofei</creator><creator>Fan, Yunshan</creator><creator>He, Shisheng</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20170501</creationdate><title>Significant reduction of fluoroscopy repetition with lumbar localization system in minimally invasive spine surgery: A prospective study</title><author>Fan, Guoxin ; Zhang, Hailong ; Gu, Xin ; Wang, Chuanfeng ; Guan, Xiaofei ; Fan, Yunshan ; He, Shisheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2850-e2b7aabd0fb4ff64e4a52a0a9ad54cf8fcab95eda87aa35247b4dca7b79d1c553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Diskectomy, Percutaneous</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Observational Study</topic><topic>Prospective Studies</topic><topic>Radiation Dosage</topic><topic>Radiation Exposure - prevention & control</topic><topic>Risk</topic><topic>Spinal Fusion</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fan, Guoxin</creatorcontrib><creatorcontrib>Zhang, Hailong</creatorcontrib><creatorcontrib>Gu, Xin</creatorcontrib><creatorcontrib>Wang, Chuanfeng</creatorcontrib><creatorcontrib>Guan, Xiaofei</creatorcontrib><creatorcontrib>Fan, Yunshan</creatorcontrib><creatorcontrib>He, Shisheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fan, Guoxin</au><au>Zhang, Hailong</au><au>Gu, Xin</au><au>Wang, Chuanfeng</au><au>Guan, Xiaofei</au><au>Fan, Yunshan</au><au>He, Shisheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Significant reduction of fluoroscopy repetition with lumbar localization system in minimally invasive spine surgery: A prospective study</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>96</volume><issue>21</issue><spage>e6684</spage><epage>e6684</epage><pages>e6684-e6684</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract><![CDATA[The conventional location methods for minimally invasive spinal surgery (MISS) were mainly based on repeated fluoroscopy in a trial-and-error manner preoperatively and intraoperatively. Localization system mainly consisted of preoperative applied radiopaque frame and intraoperative guiding device, which has the potential to minimize fluoroscopy repetition in MISS. The study aimed to evaluate the efficacy of a novel lumbar localization system in reducing radiation exposure to patients.Included patients underwent minimally invasive transforaminal lumbar interbody fusion (MISTLIF) or percutaneous transforaminal endoscopic discectomy (PTED). Patients treated with novel localization system were regarded as Group A, and patients treated without novel localization system were regarded as Group B.For PTED, The estimated effective dose was 0.41 ± 0.13 mSv in Group A and 0.57 ± 0.14 mSv in Group B (P < .001); the fluoroscopy exposure time of PTED was 22.18 ± 7.30 seconds in Group A and 30.53 ± 7.56 seconds in Group B (P < .001); The estimated cancer risk of radiation exposure was 22.68 ± 7.38 (10) in Group A and 31.20 ± 7.96 (10) in Group B (P < .001). For MISTLIF, the estimated effective dose was 0.45 ± 0.09 mSv in Group A and 0.58 ± 0.09 mSv in Group B (P < .001); The fluoroscopy exposure time was 25.41 ± 5.52 seconds in Group A and 32.82 ± 5.03 seconds in Group B (P < .001); The estimated cancer risk was 24.90 ± 5.15 (10) in Group A and 31.96 ± 5.04 (10) in Group B (P < .001). There were also significant differences in localization time and operation time between the 2 groups either for MISTLIF or PTED.The lumbar localization system could be a potential protection strategy for minimizing radiation hazards.]]></abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>28538369</pmid><doi>10.1097/MD.0000000000006684</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Diskectomy, Percutaneous Female Fluoroscopy Humans Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - surgery Male Middle Aged Minimally Invasive Surgical Procedures Observational Study Prospective Studies Radiation Dosage Radiation Exposure - prevention & control Risk Spinal Fusion Time Factors |
| title | Significant reduction of fluoroscopy repetition with lumbar localization system in minimally invasive spine surgery: A prospective study |
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