Triaging Spine Surgery and Treatment during the COVID-19 Pandemic

OBJECTIVE: To utilize evidence-based medicine to help determine guidelines for spinal surgery during the Covid-19 era. METHODS: A literature review was performed of peer-reviewed articles focused on indications for common procedures in spine surgery. Based on these indications, we sub-categorized th...

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Detalles Bibliográficos
Autores principales: Rizkalla, James M., Hotchkiss, William, Clavenna, Andrew, Dossett, Andrew, Syed, Ishaq Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315976/
https://www.ncbi.nlm.nih.gov/pubmed/32764857
http://dx.doi.org/10.1016/j.jor.2020.06.015
Descripción
Sumario:OBJECTIVE: To utilize evidence-based medicine to help determine guidelines for spinal surgery during the Covid-19 era. METHODS: A literature review was performed of peer-reviewed articles focused on indications for common procedures in spine surgery. Based on these indications, we sub-categorized these procedures into elective, urgent and emergent categories. Case examples provided. RESULTS: Indications for spinal surgery were reviewed based on current literature and categorized. This manuscript presents a decision-making algorithm to help provide a guideline for determining the appropriateness of proceeding with spinal surgery during this COVID-19 time period. CONCLUSIONS: Spinal surgery during the COVID-19 pandemic is an intricate challenging decision-making process, involving clinical, sociologic and economic factors.

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