• Journal of orthopaedics · Jul 2020

    Review

    Triaging Spine Surgery and Treatment during the COVID-19 Pandemic.

    • James M Rizkalla, William Hotchkiss, Andrew Clavenna, Andrew Dossett, and Ishaq Y Syed.
    • Baylor University Medical Center, Department of Orthopedic Surgery, 3500 Gaston Avenue, Dallas, TX, 75246, USA.
    • J Orthop. 2020 Jul 1; 20: 380-385.

    ObjectiveTo utilize evidence-based medicine to help determine guidelines for spinal surgery during the Covid-19 era.MethodsA 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.ResultsIndications 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.ConclusionsSpinal surgery during the COVID-19 pandemic is an intricate challenging decision-making process, involving clinical, sociologic and economic factors.© 2020 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.

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