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2020 ; 20
(ä): 380-385
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Triaging Spine Surgery and Treatment during the COVID-19 Pandemic
#MMPMID32764857
Rizkalla JM
; Hotchkiss W
; Clavenna A
; Dossett A
; Syed IY
J Orthop
2020[Jul]; 20
(ä): 380-385
PMID32764857
show ga
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.