Risk of noise-induced hearing loss in the spine surgeon

• DOI: 10.1016/j.xnsj.2023.100297
• Publication Date: 2023-11-24T17:20:42Z
• Authors: Matthew H. Meade; Stephanie A. Kwan; Mark E. Michael; Nicholas J. Minis...; Levi Buchan; Jeffrey R. Gleimer; Barrett I. Woods; Christopher Kepler
• Keywords: Decibel

Occupation-related noise-induced hearing loss (NIHL) has both negative economic and quality of life implications. The risk spine surgeons undertake in regards to NIHL during operative intervention is unknown. Governing bodies, including the National Institute for Occupational Safety Health, have recommended exposure limits not exceed 85 decibels (dB) over 8 hours. purpose this study characterize noise operating room (OR).Prospective collection intraoperative recordings spinal surgeries (cervical thoracic/lumbar) was undertaken. Data gathered included procedure, duration, presence background music, information. Noise information maximum decibel level (MDL), Peak (LCPeak), Equivalent continuous sound pressure level, time weighted average (TWA), dose, projected dose. measurements were compared with baseline controls without music (empty ORs).Two hundred seven analyzed. One eighteen those being surgeries, 49 40 music. Maximum reached a value 111.5 dBA, an amongst surgical 103 dBA. exceeded dBA 100% cases greater than 100 78%. LCPeak recorded 132.9 dBC 120 dBC. Furthermore, dose 7.8% 26.5%. highest occurred laminectomy at 72.9% daily allowable noise. yielded 156% 3-level anterior cervical discectomy fusion.Spine are routinely exposed damaging levels (>85 dBA) intervention. With often performing multiple day, cumulative cannot be ignored. synergistic effects impact places development occupation-related NIHL.