Occupation-related Cervical Spine Disease in Orthopaedic Surgeons

Wyatt, Ronald; Lin, Charles C.; Norheim, Elizabeth P.; Przepiorski, Diane; Navarro, Ronald A.

doi:10.5435/jaaos-d-19-00834

Cited by 15 publications

(28 citation statements)

References 32 publications

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“…Similarly, the prevalence of both back and neck pain in these groups was greater than expected based on the reports from previous studies of orthopaedic surgeons in the literature, which determined the prevalence of work-related MSK pain to be between 35% and 60%. 3 In our survey, respondents with back pain, neck pain, or both most commonly attributed their pain to poor posture, with the second most common reason being work-related injury. The combination of poor posture and work-related injury accounted for 60% of all back pain cases and 72% of all neck pain.…”

Section: Discussionmentioning

confidence: 85%

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Prevalence of Back and Neck Pain in Orthopaedic Surgeons in Western New York

Lucasti¹,

Maraschiello²,

Slowinski³

et al. 2022

JAAOS Glob Res Rev

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Introduction:The physical requirement of orthopaedic surgeons makes them highly vulnerable to musculoskeletal (MSK) injury. Previous studies have shown the prevalence of back and neck pain in orthopaedic surgeons to be approximately 50%. We hypothesize the prevalence of back and neck pain in orthopaedic surgeons in the Western New York region to be similar to what has been previously reported. Methods: A survey was sent through e-mail to all actively practicing orthopaedic surgeons in Western New York. A total of 94 surgeons were asked to participate, and 53 responded. Data for demographics, back pain, neck pain, and the impact of MSK pain on lifestyle and career practices were collected and compared with previous research. Results: Seventy-seven percent of respondents reported back pain, whereas 74% reported neck pain, both of which are greater than those seen previously. Sixteen surgeons reported receiving medical treatment currently or in the past for their MSK pain. Fourteen surgeons said that their pain has caused them to adapt their practice and/or operating room setup. Conclusion: We found the prevalence of back and neck pain in this population to be higher than that previously reported. Additional investigation into the possible causes of the higher prevalence should include the number of arthroscopic procedures done, the amount of time spent wearing lead vests, and the number of hours spent in the operating room by residents. Orthopaedic surgeons are constantly subjected to physically demanding conditions that put them at an increased risk for developing musculoskeletal disorders (MSDs). Long operating room hours coupled with poor posture and repetitive muscle movements have been previously identified as a source of chronic pain, dysfunction, and decreased quality of life. Previous studies have demonstrated that more than half of all currently practicing orthopaedic surgeons have developed some degree of chronic musculoskeletal (MSK) pain, with cervical and lumbar pain being

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Section: Discussionmentioning

confidence: 85%

“…most frequently reported. [1][2][3][4] In an attempt to alleviate these work-induced MSDs, a variety of ergonomic interventions have been studied for their efficacy. A clear benefit to these interventions has been established for short-term outcomes, but the long-term effects are less clear.…”

mentioning

confidence: 99%

Prevalence of Back and Neck Pain in Orthopaedic Surgeons in Western New York

Lucasti¹,

Maraschiello²,

Slowinski³

et al. 2022

JAAOS Glob Res Rev

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“…Trainees, in contrast, experienced a nominal increase in pain over the course of their cases. The observation that pain or physical fatigue increases with age is a ubiquitous one 33–35 . Although the attendings included in our study are relatively early in their rhinology careers (mean age 45), rhinology is a unique otolaryngology subspecialty when considering the sustained and immobile posture its surgeries demand 36,37 .…”

Section: Discussionmentioning

confidence: 96%

“…The observation that pain or physical fatigue increases with age is a ubiquitous one. [33][34][35] Although the attendings included in our study are relatively early in their rhinology careers (mean age 45), rhinology is a unique otolaryngology subspecialty when considering the sustained and immobile posture its surgeries demand. 36,37 These static postures are not only maintained throughout surgery, but often throughout the entirety of a surgeon's professional life.…”

Section: Discussionmentioning

confidence: 99%

Ergonomic Analysis of Functional Endoscopic Sinus Surgery Using Novel Inertial Sensors

et al. 2021

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Objectives/Hypothesis Suboptimal ergonomics during endoscopic sinus surgery can lead to considerable physical discomfort and fatigue for the surgeon. The purpose of this pilot study is to objectively evaluate the ergonomic positions of trainee and attending surgeons while performing functional endoscopic sinus surgery (FESS). Study Design Pilot prospective trial. Methods Six surgeons (two attendings and four trainees) performed FESS while wearing 11 inertial measurement units (IMUs) affixed to either side of each major joint. Screen placement was standardized to be 1 m directly in front of the surgeon and on the patient's left, 0–15° declined from the surgeons' eyes. Bed height was standardized such that the workspace was 0 to 10 cm below the elbows. IMU data were analyzed to calculate joint angles. Ideal joint angles (i.e., <10° for neck and trunk) were determined by the validated Rapid Entire Body Assessment tool. Subjects subsequently completed a modified National Aeronautics and Space Administration Task Load Index to assess cognitive and physical burden and pain. Student's t‐test was employed to detect differences between groups. Results Trainees adopted positions involving significantly greater neck flexion (9.90° vs. −6.48°, P = .03) and reported significantly higher frustration levels (3.04 vs. 1.33, P = .02) while operating than attendings. For both cohorts, increased operative time was significantly correlated with greater back flexion (r = 0.90, P = .02; r = 0.55, P = .04, respectively). Conclusions Our data suggest that trainees operate with higher risk neck postures than do attendings. These data indicate high‐risk operative postures may be borne of inexperience and present an opportunity for postural interventions at an early stage of training. Level of Evidence NA Laryngoscope, 132:1153–1159, 2022

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“…While all surgeons have been found to have an increased risk of sustaining work related MSK disorders, recent studies have shown that the orthopaedic surgeon is at an even increased risk[ 2 , 6 - 8 ]. Repetitive and constantly forceful surgical tasks have been identified as the major contributing factor to their increased prevalence in orthopaedic surgeons.…”

Section: Introductionmentioning

confidence: 99%

Work-related musculoskeletal injuries among upper extremity surgeons: A web-based survey

Alzahrani¹,

Al-Qahtani²,

Pichora³

et al. 2021

WJO

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BACKGROUND Work-related injuries have gained recent attention, especially in the orthopaedic literature. As upper extremity orthopaedic surgical tasks require repetitive and constant maneuvers, these surgeons can be at increased risk of acquiring work-related musculoskeletal (MSK) disorders during their years in practice. AIM To assess the prevalence, characteristics and impact of MSK disorders among upper extremity orthopaedic surgeons. METHODS A modified version of the physical discomfort survey was sent to surgeons who were members of the American Shoulder and Elbow Surgeons and the Canadian shoulder and elbow society via e-mail. The collected data were analyzed using descriptive statistics, one-way analysis of variance, and Fisher's exact test. P values of < 0.05 were considered statistically significant. RESULTS Of the 142 respondents, 90.8% were males and the majority were younger than 55 years old (65.5%). A work-related MSK injury was reported by 89.4% of respondents, of which the most common diagnoses were low back pain (26.1%) and lateral elbow epicondylitis (18.3%). Among those that reported an injury, 82.7% required treatment and 26% required time off work as a direct result of their injury. The need to undergo treatment due to the injury was associated with increased number of injuries ( P < 0.01). Moreover, surgeons were more likely to require time off work when they had been in practice for > 21 years ( P < 0.05). CONCLUSION A high proportion of surgeons in our survey reported MSK injuries, with more than one quarter of surgeons reported requiring time off work due to an MSK injury. The high incidence of these disorders may place a financial and psychological burden on surgeons and affect their ability to provide patient care. Awareness of operative ergonomics, irrespective of surgical specialty may help to decrease or possibly prevent the occurrence of these disorders.

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Occupation-related Cervical Spine Disease in Orthopaedic Surgeons

Cited by 15 publications

References 32 publications

Prevalence of Back and Neck Pain in Orthopaedic Surgeons in Western New York

Prevalence of Back and Neck Pain in Orthopaedic Surgeons in Western New York

Ergonomic Analysis of Functional Endoscopic Sinus Surgery Using Novel Inertial Sensors

Work-related musculoskeletal injuries among upper extremity surgeons: A web-based survey

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