Minimizing radiation exposure in minimally invasive spine surgery: Lessons learned from neuroendovascular surgery

Najib E. El Tecle, Tarek Y. El Ahmadieh, Biraj M. Patel, Rohan R. Lall, Bernard R. Bendok, Zachary A. Smith

Research output: Contribution to journalReview article

2 Scopus citations


In parallel with advances in minimally invasive spinal techniques and endovascular neurosurgical procedures, radiation use for diagnostic and therapeutic purposes has increased. Concerns have been raised about radiation side effects and long-term complications, particularly in the operator and exposed personnel. Radiation use during procedures has increased in conjunction with an increase in minimally invasive image-guided surgery. In this review, the current literature regarding risks of radiation exposure to the personnel involved in radiation-based procedures and strategies to reduce these risks are summarized. Current standards in radiation risk reduction and specific techniques that can minimize radiation exposure are also discussed.

Original languageEnglish (US)
Pages (from-to)247-260
Number of pages14
JournalNeurosurgery clinics of North America
Issue number2
StatePublished - Apr 2014



  • As low as reasonably achievable
  • Minimally invasive spine surgery
  • Neuroendovascular surgery
  • Radiation avoidance
  • Radiation exposure
  • Spine surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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