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Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey.
Acta Neurochir (Wien). 2021 06; 163(6):1541-1552.AN

Abstract

BACKGROUND

Work-related musculoskeletal disorders (WMSDs) affect a significant percentage of the neurosurgical workforce. The aim of the current questionnaire-based study was to examine the prevalence of WMSDs amongst neurosurgeons, identify risk factors, and study the views of neurosurgeons regarding ergonomics.

METHODS

From June to August 2020, members of the "European Association of Neurosurgical Societies," the "Neurosurgery Research Listserv," and the "Latin American Federation of Neurosurgical Societies" were asked to complete an electronic questionnaire on the topics of WMSDs and ergonomics.

RESULTS

A total of 409 neurosurgeons responded to the survey, with a 4.7 male to female ratio. Most of the surgeons worked in Europe (76.9%) in academic public hospitals. The vast majority of the participants (87.9%) had experienced WMSDs, mainly affecting the shoulder, neck, and back muscles. The most common operations performed by the participants were "Craniotomy for convexity/intrinsic tumors" (24.1%) and "Open lumbar basic spine" (24.1%). Neurosurgeons agreed that ergonomics is an underexposed area in the neurosurgical field (84.8%) and that more resources should be spend (87.3%) and training curricula changes should be made (78.3%) in order to alleviate the burden of WMSDs on neurosurgeons. Univariate analysis did not reveal any associations between the development of WMSDs and age, gender, tenure, average duration of operation, operating time per week, type of operation, and surgical approach.

CONCLUSIONS

The problem of WMSDs ought to be more closely addressed and managed by the neurosurgical community. More studies ought to be designed to investigate specific ergonomic parameters in order to formulate practice recommendations.

Authors+Show Affiliations

Department of Neurosurgery, Faculty of Medicine, University of Thessaly, Larisa, Greece.Division of Neurosurgery, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland. Faculty of Medicine, University of Geneva, Geneva, Switzerland.Spine Center, Hospital Del Mar, Barcelona, Spain.Department of Neurosurgery, Faculty of Medicine, University of Thessaly, Larisa, Greece.Department of Neurosurgery, New Royal Infirmary, Edinburgh, UK. andreas.demetriades@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33594483

Citation

Mavrovounis, Georgios, et al. "Postural Ergonomics and Work-related Musculoskeletal Disorders in Neurosurgery: Lessons From an International Survey." Acta Neurochirurgica, vol. 163, no. 6, 2021, pp. 1541-1552.
Mavrovounis G, Meling TR, Lafuente J, et al. Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey. Acta Neurochir (Wien). 2021;163(6):1541-1552.
Mavrovounis, G., Meling, T. R., Lafuente, J., Fountas, K. N., & Demetriades, A. K. (2021). Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey. Acta Neurochirurgica, 163(6), 1541-1552. https://doi.org/10.1007/s00701-021-04722-5
Mavrovounis G, et al. Postural Ergonomics and Work-related Musculoskeletal Disorders in Neurosurgery: Lessons From an International Survey. Acta Neurochir (Wien). 2021;163(6):1541-1552. PubMed PMID: 33594483.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey. AU - Mavrovounis,Georgios, AU - Meling,Torstein R, AU - Lafuente,Jesus, AU - Fountas,Konstantinos N, AU - Demetriades,Andreas K, Y1 - 2021/02/17/ PY - 2020/10/28/received PY - 2021/01/14/accepted PY - 2021/2/18/pubmed PY - 2021/7/9/medline PY - 2021/2/17/entrez KW - Ergonomics KW - Neurosurgery KW - Postural ergonomics KW - Questionnaire KW - WMSDs KW - Work-related musculoskeletal disorders SP - 1541 EP - 1552 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 163 IS - 6 N2 - BACKGROUND: Work-related musculoskeletal disorders (WMSDs) affect a significant percentage of the neurosurgical workforce. The aim of the current questionnaire-based study was to examine the prevalence of WMSDs amongst neurosurgeons, identify risk factors, and study the views of neurosurgeons regarding ergonomics. METHODS: From June to August 2020, members of the "European Association of Neurosurgical Societies," the "Neurosurgery Research Listserv," and the "Latin American Federation of Neurosurgical Societies" were asked to complete an electronic questionnaire on the topics of WMSDs and ergonomics. RESULTS: A total of 409 neurosurgeons responded to the survey, with a 4.7 male to female ratio. Most of the surgeons worked in Europe (76.9%) in academic public hospitals. The vast majority of the participants (87.9%) had experienced WMSDs, mainly affecting the shoulder, neck, and back muscles. The most common operations performed by the participants were "Craniotomy for convexity/intrinsic tumors" (24.1%) and "Open lumbar basic spine" (24.1%). Neurosurgeons agreed that ergonomics is an underexposed area in the neurosurgical field (84.8%) and that more resources should be spend (87.3%) and training curricula changes should be made (78.3%) in order to alleviate the burden of WMSDs on neurosurgeons. Univariate analysis did not reveal any associations between the development of WMSDs and age, gender, tenure, average duration of operation, operating time per week, type of operation, and surgical approach. CONCLUSIONS: The problem of WMSDs ought to be more closely addressed and managed by the neurosurgical community. More studies ought to be designed to investigate specific ergonomic parameters in order to formulate practice recommendations. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/33594483/Postural_ergonomics_and_work_related_musculoskeletal_disorders_in_neurosurgery:_lessons_from_an_international_survey_ DB - PRIME DP - Unbound Medicine ER -