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Basic Principles of Unilateral Biportal Endoscopic Surgery: Intraoperative Radiation Exposure During UBE Procedures

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Unilateral Biportal Endoscopy of the Spine

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Abstract

Unilateral biportal endoscopic (UBE) spinal surgery is one of the endoscopic surgical techniques, which is usually done from the posterior approach. Similar to other spinal endoscopic techniques, intraoperative fluoroscopic image guidance is necessary at present. Although the radiation exposure during UBE procedures has been shown to be less than that in posterolateral transforaminal endoscopic procedures, the radiation should be controlled as low as reasonably achievable. This chapter presents a brief review on intraoperative radiation in minimally invasive spine surgery, potential damage to the human body, general strategies for intraoperative radiation protection, tricks, and future directions to decrease intraoperative radiation during UBE procedures.

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Abbreviations

ALARA:

As low as reasonably achievable

AP:

Anteroposterior

CT:

Computed tomography

DNA:

Deoxyribonucleic acid

MIS:

Minimally invasive spine

MRI:

Magnetic resonance imaging

OEL:

Occupational exposure limit

PESSTS:

Percutaneous endoscopic spine surgery through saline

TLIF:

Transforaminal lumbar interbody fusion

UBE:

Unilateral biportal endoscopy

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Author information

Authors and Affiliations

  1. Department of Orthopedics, The First Hospital of China Medical University, Shenyang, Liaoning Province, People’s Republic of China

    Xinchun Liu

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  1. Xinchun Liu
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Correspondence to Xinchun Liu .

Editor information

Editors and Affiliations

  1. The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+ Querétaro, Spine Clinic, Querétaro, Mexico

    Javier Quillo-Olvera

  2. The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+ Querétaro, Spine Clinic, Querétaro, Mexico

    Diego Quillo-Olvera

  3. The Brain and Spine Care, Minimally Invasive Spine Surgery Group, Hospital H+ Querétaro, Spine Clinic, Querétaro, Mexico

    Javier Quillo-Reséndiz

  4. Spine Center, Schoen Klinik Muenchen Harlaching, Muenchen, Germany

    Michael Mayer

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Liu, X. (2022). Basic Principles of Unilateral Biportal Endoscopic Surgery: Intraoperative Radiation Exposure During UBE Procedures. In: Quillo-Olvera, J., Quillo-Olvera, D., Quillo-Reséndiz, J., Mayer, M. (eds) Unilateral Biportal Endoscopy of the Spine. Springer, Cham. https://doi.org/10.1007/978-3-031-14736-4_8

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  • DOI: https://doi.org/10.1007/978-3-031-14736-4_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14735-7

  • Online ISBN: 978-3-031-14736-4

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