{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T22:45:30Z","timestamp":1776638730677,"version":"3.51.2"},"reference-count":0,"publisher":"Termedia Sp. z.o.o.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Med Sci"],"published-print":{"date-parts":[[2021,1,5]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Percutaneous vertebroplasty is commonly used to treat spinal fractures. The authors compare radiation exposure as potential risk for the surgical team during vertebroplasty guided by O-arm combined with neuronavigation versus vertebroplasty guided by C-arm fluoroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>The clinical material consisted of a group of 29 patients (44 vertebrae) with fractures of the thoracolumbar spine treated with percutaneous vertebroplasty guided by O-arm with neuronavigation. In this new method, the operating room staff leaves the operating room for the duration of the 3D scan of the appropriate spine section using the O-arm. In the next stage, the needle of the vertebroplasty system is introduced using only neuronavigation without the need for a radiological view. Finally, the cement injection was made under O-arm fluoroscopic control. The comparison group consisted of a group of 35 patients (40 vertebrae) treated with the classical method using C-arm fluoroscopy. The two methods were compared in terms of the average dose of emitted ionizing radiation through the device (O-arm vs. C-arm) to which surgeons are exposed during percutaneous vertebroplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As a result of vertebroplasty procedures guided by neuronavigation, a statistically significant difference between the values of mean dose of radiation emitted by O-arm and C-arm systems was noted. The O-arm emitted 912 cGy\/cm2 vs. 1722 cGy\/cm2 emitted by the C-arm during fluoroscopically assisted procedures and 601.28 cGy\/cm2 vs. 1506.86 cGy\/cm2 per vertebrae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>During vertebroplasty with the O-arm combined with neuronavigation the radiation dose is significantly lower as compared with the C-arm used for fluoroscopic guidance, minimizing the potential risk of radiation exposure to surgeons.<\/jats:p><\/jats:sec>","DOI":"10.5114\/aoms.2019.84269","type":"journal-article","created":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T13:01:02Z","timestamp":1555419662000},"page":"113-119","source":"Crossref","is-referenced-by-count":12,"title":["Use of O-arm with neuronavigation in percutaneous vertebroplasty reduces the surgeon\u2019s exposure to intraoperative radiation"],"prefix":"10.5114","volume":"17","author":[{"given":"Maciej","family":"Wojdyn","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Surgery of Spine and Peripheral Nerves, Medical University of Lodz, University Hospital WAM-CSW, Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olaf","family":"Pierzak","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Surgery of Spine and Peripheral Nerves, Medical University of Lodz, University Hospital WAM-CSW, Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof","family":"Zapa\u0142owicz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Prof. Gibi\u0144ski Central Clinical Hospital, Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maciej","family":"Radek","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Surgery of Spine and Peripheral Nerves, Medical University of Lodz, University Hospital WAM-CSW, Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2021,1,5]]},"container-title":["Archives of Medical Science"],"original-title":[],"link":[{"URL":"https:\/\/www.archivesofmedicalscience.com\/pdf-105449-60718","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.archivesofmedicalscience.com\/pdf-105449-60718","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,11]],"date-time":"2021-01-11T09:50:29Z","timestamp":1610358629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.archivesofmedicalscience.com\/Use-of-O-arm-with-neuronavigation-in-percutaneous-vertebroplasty-reduces-the-surgeon,105449,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,5]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"alternative-id":["105449"],"URL":"https:\/\/doi.org\/10.5114\/aoms.2019.84269","relation":{},"ISSN":["1734-1922","1896-9151"],"issn-type":[{"value":"1734-1922","type":"print"},{"value":"1896-9151","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,5]]}}}