Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (21): 3409-3413.doi: 10.3969/j.issn.2095-4344.2015.21.024

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The radiation dose and protection during percutaneous vertebral augmentation

Wei Chao, Han Dun-fu, Li Tao   

  1. Department of Spine Surgery, the Central Hospital of Zibo, Zibo 255036, Shandong Province, China
  • Online:2015-05-21 Published:2015-05-21
  • Contact: Li Tao, Chief physician, Master’s supervisor, Department of Spine Surgery, the Central Hospital of Zibo, Zibo 255036, Shandong Province, China
  • About author:Wei Chao, Master, Physician, Department of Spine Surgery, the Central Hospital of Zibo, Zibo 255036, Shandong Province, China

Abstract:

BACKGROUND: A large number of literatures have shown that surgeons expose to a higher radiation dose during puncture and bone cement injection in percutaneous vertebral augmentation.
OBJECTIVE: To review the research progress in radiation doses and safeguard procedures in percutaneous vertebral augmentation. 
METHODS: By using “percutaneous vertebral augmentation, radiation doses, radiation protective” as key words, we retrieved articles related to radiological protection during percutaneous vertebral augmentation published from January 1995 to December 2014 in Wangfang database and PubMed database.
RESULTS AND CONCLUSION: One basic principle of radiation protection is that the radiation dose decreases rapidly with distance from the radioactive sources. Surgeons should maximize the distance from the radioactive sources as far as possible in case there is no effect on the operation. To optimize the setting and position of C-arm machine, wear protective devices and put lead shields as well as computer navigation and radiation training in surgeons all can help to reduce the radiation doses during percutaneous vertebral augmentation. Remote bone cement injection device is easy to control but not increases the radiation doses. In addition, the influence of surgery bed on radiation dose remains to be further studied. We believe that with the in-depth research on radiological protection, vertebral augmentation technique will be safer in clinical application.

中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程

 

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