RADIATION EXPOSURE DURING SPINE SURGERY USING C-ARM FLUOROSCOPY.

Area of Science:

• Medical Physics
• Occupational Health
• Surgical Procedures

Background:

• C-arm fluoroscopy is frequently used in spine surgeries.
• Assessing radiation exposure is vital for healthcare professionals, especially those not typically classified as occupationally exposed workers.
• Understanding radiation doses is critical for implementing appropriate safety measures.

Purpose of the Study:

• To quantify the radiation dose received by all staff members during spine surgeries.
• To assess exposure levels for both occupationally exposed and non-occupationally exposed personnel.
• To determine the effectiveness of current radiation safety practices in a spine surgery setting.

Main Methods:

• A 12-month prospective study of all spinal surgeries within a single department.
• Radiation exposure was measured using 15 film badge dosimeters placed on personnel (lapels, gloves) and at standardized room locations.
• Dosimeters were collected and analyzed periodically throughout the study period.

Main Results:

• A total of 81 spinal surgeries were analyzed, performed by a consistent surgical team.
• Radiation doses varied from 0.16 mSv to 2.29 mSv, depending on the measurement site.
• The highest radiation exposure was recorded on the wrist of the primary surgeon.

Conclusions:

• Radiation doses in this spine surgery setting are generally low and comply with established legal limits.
• Ongoing professional training is essential for enhancing radiation protection for both medical staff and patients.
• The study highlights the importance of continuous monitoring and education in minimizing radiation risks during surgical procedures.