Cervical spine disease in surgeons performing arthroscopy or laparoscopy

Norheim, Elizabeth P.; Black, Maureen M.; Ngor, Eunis; Shi, Jiaxiao; Safran, Marc R.; Navarro, Ronald A.

doi:10.1080/19338244.2017.1392277

Cited by 4 publications

(13 citation statements)

References 41 publications

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“…The prevalence of neck pain ranged from 14.2% to 74% 4,8,9,24-26,29,33,35,40 . Neck pain with radiculopathy was reported in 2.8% to 27.6% 7,22-24,35,40 . In the cervical spine, strains/sprains affected 38.2% of surgeons, degenerative disc disease 9.1%, disc herniation 2.4% to 27.6%, and spinal stenosis 5.7% 24,30 .…”

Section: Resultsmentioning

confidence: 99%

“…At the conclusion of screening, 34 articles were included in the present systematic review 4-9,13-40 (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

“…1). Eight studies reported on the biomechanical burden of orthopaedic procedures 13-20 , while 26 studies reported on MSK symptoms or injuries experienced by orthopaedic surgeons 4-9,21-40 .…”

Section: Methodsmentioning

confidence: 99%

“…1). Eight studies reported on the biomechanical burden of orthopaedic procedures [13][14][15][16][17][18][19][20] , while 26 studies reported on MSK symptoms or injuries experienced by orthopaedic surgeons [4][5][6][7][8][9][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] .…”

Section: Study Selectionmentioning

confidence: 99%

“…Twenty-six studies reported on MSK injuries experienced by orthopaedic surgeons [4][5][6][7][8][9][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] (Table III). Of these, 13 studies presented an overall prevalence ranging from 44% to 97% of MSK symptoms or injury involving any body region in this population 4,5,7,9,[21][22][23]25,27,28,31,32,39 .…”

Section: Msk Injuries Among Orthopaedic Surgeons Overall Prevalencementioning

confidence: 99%

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The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

Covarrubius

Yakkanti

et al. 2023

JBJS Reviews

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Background:Orthopaedic surgeons are at high risk for experiencing work-related musculoskeletal (MSK) injuries and chronic pain due to repetitive large magnitude forces, altered posture from lead vests, and prolonged irregular body positions. We sought to synthesize available evidence regarding (1) the biomechanics of orthopaedic surgery and (2) MSK injuries sustained by orthopaedic surgeons with subsequent treatment and consequences.Methods:To conduct this systematic review, we queried 4 databases (PubMed, Embase, MEDLINE, and Web of Science) for original research studies presenting on the biomechanics of orthopaedic surgery or MSK injuries sustained by orthopaedic surgeons. Studies were excluded if they were not original research (i.e., reviews) or reported on non-MSK injuries and injuries in patients or nonorthopaedic specialists. The literature search yielded 3,202 publications, 34 of which were included in the final analysis.Results:Eight studies reported on the biomechanics of orthopaedic surgery. Surgeons spent an average 41.6% of operating time slouched. Head and whole spine angles were closest to natural standing position when using a microscope for visualization and with higher surgical field heights. Use of lead aprons resulted in a shifted weight distribution on the forefoot, gain in thoracic kyphosis, and increase in lateral deviation from postural loading. Twenty-six studies reported on MSK symptoms and injuries experienced by orthopaedic surgeons, with an overall prevalence from 44% to 97%. The most common body regions involved were lower back (15.2%-89.5%), hip/thigh (5.0%-86.6%), neck (2.4%-74%), hand/wrist (10.5%-54%), shoulder (7.1%-48.5%), elbow (3.1%-28.3%), knee/lower leg (7.9%-27.4%), and foot/ankle (7%-25.7%). Of surgeons with any reported MSK symptom or injury, 27% to 65.7% required nonoperative treatment, 3.2% to 34.3% surgery, and 4.5% to 31% time off work. Up to 59.3% of surgeons reported that their injuries would negatively influence their ability to perform surgical procedures in the future.Conclusions:The orthopaedic surgeon population experiences a high prevalence of MSK symptoms and injuries, likely secondary to the biomechanical burdens of tasks required of them during strenuous operations.Level of Evidence:Level III. See Instructions for Authors for a complete description of levels of evidence.

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Section: Resultsmentioning

confidence: 99%

“…At the conclusion of screening, 34 articles were included in the present systematic review 4-9,13-40 (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Msk Injuries Among Orthopaedic Surgeons Overall Prevalencementioning

confidence: 99%

See 3 more Smart Citations

The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

Covarrubius

Yakkanti

et al. 2023

JBJS Reviews

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Epidemiology of Work-Related Neck Pain Among Spine Surgeons

Abolfotouh

Alnori

Choma

et al. 2022

Global Spine Journal

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Study Design Cross-sectional survey. Objectives This study aimed to investigate work-related neck pain among AO spine surgeons in different regions by estimating its prevalence, predictors, consequences, and management methods. Methods A cross-sectional survey of 411 spine surgeon members of AO spine was conducted during March–May 2021, using the Modified Nordic Questionnaire and the Neck Disability Index. Data on neck pain experience during the last 12 months and its consequences and risk factors were collected. Logistic regression analysis was done to identify significant predictors of neck pain. Significance was set at P < .05. Results The 1-year neck pain was experienced by 66.7% of surgeons. According to the Neck Disability Index, more than one-half (52.8%) experienced disability due to neck pain of mild (45.5%), moderate (6.5%), and severe (.8%) grades. Neck pain was responsible for stopping work in 17.5% of surgeons, with a median of 3.5 (IQR, 2-7.8) days off work. One-half of the participants (56.3%) were treated by medical care, 31.5% by physiotherapy, and 16.5% requested rest days and sick leave. Physical stress (P < .001) and non-exercising (P = .04) were the significant predictors of neck pain. Conclusion The 12-month prevalence of neck pain was high among spine surgeons, with an impact on activities of daily living, mainly of a mild degree, reported by one-half of surgeons. Physical stress was the only significant predictor, while sports practice was a protective factor ag neck pain. Medication was the primary management adopted—an increased focus on pain prevention through improved workplace ergonomics and sports activity programs is recommended.

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Impact of neck posture and insulating stick use on neck disability in Korean line workers: a cross-sectional study

Ju,

Lee,

Kim

et al. 2024

Ann Occup Environ Med

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Background Occupational neck disability is a prevalent issue, especially among line workers, who are often exposed to elevated levels of cervical ergonomic stress. The aim of this study was to investigate the impact of neck posture and insulating stick use on neck disability in a specific occupational group in Korea. Methods This cross-sectional study was conducted among 483 line workers in Gwangju and Jeonnam, Korea. Data were collected using the Neck Disability Index, Cervical Degenerative Index, and a structured questionnaire focusing on demographic and occupational factors. Logistic regression analysis was applied to determine the adjusted odds ratio (OR) and 95% confidence interval (CI) for neck posture and factors related to neck disability. Results Neck disability prevalence was 17.2% among the participants. Multivariate logistic regression analysis showed that factors related to neck disability included age over 60 years (adjusted OR: 3.08; 95% CI: 1.63–5.83), depression (adjusted OR: 8.33; 95% CI: 3.85–18.00), a history of cervical trauma (adjusted OR: 2.13; 95% CI: 1.04–4.40), and radiological degenerative changes in the cervical spine (adjusted OR: 2.33; 95% CI: 1.26–4.33). In particular, the adjusted OR of neck disability among live-line workers was 2.10 (95% CI: 1.12–3.92) when compared with support workers (model 1). Other analysis models showed that use of insulating sticks for more than 10 hours per week (adjusted OR: 2.46; 95% CI: 1.32–4.61) and higher neck extension (adjusted OR: 2.98; 95% CI: 1.14–3.46) were significant work-related risk factors (model 2,3). Conclusions Neck posture, age, depression, cervical trauma history, degenerative changes in the cervical spine, and use of insulating sticks are significant risk factors for neck disability among line workers in Korea. These findings highlight the need to improve the working environment and reduce the burden of cervical ergonomic stress among line workers.

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Cervical spine disease in surgeons performing arthroscopy or laparoscopy

Abstract: Level 3.

Cited by 4 publications

References 41 publications

The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons

Epidemiology of Work-Related Neck Pain Among Spine Surgeons

Impact of neck posture and insulating stick use on neck disability in Korean line workers: a cross-sectional study

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