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논문 기본 정보

자료유형
학술저널
저자정보
Vibhu Krishnan Viswanathan (Ganga Hospital) Surabhi Subramanian (Ganga Hospital) Arthi K. Rao (MIOT International)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.14 No.4
발행연도
2020.1
수록면
572 - 580 (9page)

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초록· 키워드

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The coronavirus disease 2019 (COVID-19) pandemic has significantly affected all specialty practices in medicine, including the field of spinal surgery. Spinal surgery is unique in that the procedures include not only fully elective and fully emergent interventions, but also involve a separate group of semi-emergent surgeries, where delayed intervention may lead to permanent neurological deficits. Here, we present an evidence-based review on the impact of the COVID-19 pandemic on spinal surgery and our current knowledge about this issue. We conducted a thorough search of the PubMed, Medline, and Google Scholar databases using the keywords, “COVID-19,” “COVID-19 impact on spine surgery,” “coronavirus impact on spine surgery,” “COVID-19 impact on neurosurgery,” “coronavirus impact on neurosurgery,” “COVID-19 impact on spine surgeons,” and “coronavirus impact on spine surgeons” on May 6, 2020. A total of 8,322 articles were identified in the initial search. Articles that were duplicated, those that did not pertain to COVID-19 or spine surgeries, those with details not pertaining to the current topic of interest, and those published in languages other than English were excluded from our analyses. After complete screening, six articles were included in this review. During the previous few weeks, the COVID pandemic has significantly influenced all major aspects of spine surgery across the world. Outpatient care has been gradually shifted from physical visits to tele-health and online consultations. General recommendations have favored the conservative approach over surgeries, although no patient should be deprived of standard care owing to concerns about COVID. The general principles followed by spine surgeons should include early detection of COVID symptomatology; triaging of patients based on underlying spinal pathology; prescription of appropriate investigations to confirm the COVID status; isolation, as needed; selection of optimal management method as per the guidelines; adherence to best intraoperative practices; and ensuring protective measures for non-infected patients, family members, fellow heath care providers, and themselves against the disease.
#COVID-19 #Surgical spinal procedure #Operative #Pandemics #Spine

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참고문헌 (31)

참고문헌 신청
Donnally CJ 3rd / 2020 / Triaging spine surgery in the COVID-19 era / Clin Spine Surg 33:129~130 google schola Mavrogenis AF / 2020 / The virus crisis affects Orthopaedic surgery and scientific activities worldwide / Int Orthop 44:813~817 google schola Zhu N / 2020 / A novel coronavirus from patients with pneumonia in China, 2019 / N Engl J Med 382:727~733 google schola Wrapp D / 2020 / Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation / Science 367:1260~1263 google schola Jun Zou / 2020 / Advice on Standardized Diagnosis and Treatment for Spinal Diseases during the Coronavirus Disease 2019 Pandemic / Asian Spine Journal 14(2):258~263 dbpia

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