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Triaging Spine Surgery and Treatment during the COVID-19 Pandemic
James M Rizkalla1, William Hotchkiss2, Andrew Clavenna2
1Baylor University Medical Center, Department of Orthopedic Surgery, 3500 Gaston Avenue, Dallas, TX, 75246, USA.
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.
