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Spine surgeon's kinematics during discectomy, part II: operating table height and visualization methods, including microscope.

DC FieldValueLanguage
dc.contributor.author조영은-
dc.contributor.author진동규-
dc.contributor.author구성욱-
dc.contributor.author김경현-
dc.contributor.author김근수-
dc.contributor.author박정윤-
dc.contributor.author조용은-
dc.date.accessioned2015-12-28T10:55:07Z-
dc.date.available2015-12-28T10:55:07Z-
dc.date.issued2014-
dc.identifier.issn0940-6719-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/138304-
dc.description.abstractPURPOSE: Surgeon spine angle during surgery was studied ergonomically and the kinematics of the surgeon's spine was related with musculoskeletal fatigue and pain. Spine angles varied depending on operation table height and visualization method, and in a previous paper we showed that the use of a loupe and a table height at the midpoint between the umbilicus and the sternum are optimal for reducing musculoskeletal loading. However, no studies have previously included a microscope as a possible visualization method. The objective of this study is to assess differences in surgeon spine angles depending on operating table height and visualization method, including microscope. MATERIALS AND METHODS: We enrolled 18 experienced spine surgeons for this study, who each performed a discectomy using a spine surgery simulator. Three different methods were used to visualize the surgical field (naked eye, loupe, microscope) and three different operating table heights (anterior superior iliac spine, umbilicus, the midpoint between the umbilicus and the sternum) were studied. Whole spine angles were compared for three different views during the discectomy simulation: midline, ipsilateral, and contralateral. A 16-camera optoelectronic motion analysis system was used, and 16 markers were placed from the head to the pelvis. Lumbar lordosis, thoracic kyphosis, cervical lordosis, and occipital angle were compared between the different operating table heights and visualization methods as well as a natural standing position. RESULTS: Whole spine angles differed significantly depending on visualization method. All parameters were closer to natural standing values when discectomy was performed with a microscope, and there were no differences between the naked eye and the loupe. Whole spine angles were also found to differ from the natural standing position depending on operating table height, and became closer to natural standing position values as the operating table height increased, independent of the visualization method. When using a microscope, lumbar lordosis, thoracic kyphosis, and cervical lordosis showed no differences according to table heights above the umbilicus. CONCLUSION: This study suggests that the use of a microscope and a table height above the umbilicus are optimal for reducing surgeon musculoskeletal fatigue.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1067~1076-
dc.relation.isPartOfEuropean Spine Journal-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleSpine surgeon's kinematics during discectomy, part II: operating table height and visualization methods, including microscope.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorJeong Yoon Park-
dc.contributor.googleauthorKyung Hyun Kim-
dc.contributor.googleauthorSung Uk Kuh-
dc.contributor.googleauthorDong Kyu Chin-
dc.contributor.googleauthorKeun Su Kim-
dc.contributor.googleauthorYong Eun Cho-
dc.identifier.doi10.1007/s00586-013-3125-6-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03865-
dc.contributor.localIdA03979-
dc.contributor.localIdA00196-
dc.contributor.localIdA00308-
dc.contributor.localIdA00330-
dc.contributor.localIdA01650-
dc.relation.journalcodeJ00853-
dc.identifier.urlhttp://link.springer.com/article/10.1007/s00586-013-3125-6-
dc.contributor.alternativeNameCho, Yong Eun-
dc.contributor.alternativeNameChin, Dong Kyu-
dc.contributor.alternativeNameKuh, Sung Uk-
dc.contributor.alternativeNameKim, Kyung Hyun-
dc.contributor.alternativeNameKim, Keun Su-
dc.contributor.alternativeNamePark, Jeong Yoon-
dc.contributor.affiliatedAuthorCho, Yong Eun-
dc.contributor.affiliatedAuthorChin, Dong Kyu-
dc.contributor.affiliatedAuthorKuh, Sung Uk-
dc.contributor.affiliatedAuthorKim, Kyung Hyun-
dc.contributor.affiliatedAuthorKim, Keun Su-
dc.contributor.affiliatedAuthorPark, Jeong Yoon-
dc.rights.accessRightsfree-
dc.citation.volume23-
dc.citation.number5-
dc.citation.startPage1067-
dc.citation.endPage1076-
dc.identifier.bibliographicCitationEuropean Spine Journal, Vol.23(5) : 1067-1076, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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