Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia

karakoç, ebru; Bozkurt, Ismail

Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia

İsmail BOZKURT, (Çankırı Devlet Hastanesi, Nöroşirürji Bölümü, Çankırı, Türkiye)

Ebru KARAKOÇ (Çankırı Devlet Hastanesi, Yoğun Bakım Ünitesi, Çankırı, Türkiye)

Osmangazi Tıp Dergisi

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Yıl: 2022 Cilt: 44 Sayı: 1 Sayfa Aralığı: 61 - 71 Metin Dili: İngilizce İndeks Tarihi: 07-09-2022

Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia

Öz:

Abstract Aim The COVID-19 has affected all aspects of public health. In order to preserve valuable medical resources, most health care systems have halted elective and non-essential surgeries. Spine surgery is no exception in this period. However, defining essential and non-essential surgeries, the management of patients and due screening process has made a clear algorithm a must. Material and Methods The patients operated for various spinal surgeries during a 9-month period at an only reference trauma and spinal surgery performing secondary step state hospital in Central Anatolia were evaluated. During this time period, a guideline in discriminating essential surgeries, handling the pre and post-operative course based on previous publications and recommendations was formed. Results During this period 70 spinal surgeries were performed. The patients were categorized into 2 groups; 1- no to low risk and 2- high risk to definite group. Each group of patients underwent distinct process during their hospital stay in order to minimize the risk of contamination. No patient operated on was diagnosed with COVID-19 during their hospital stay or 10 days following their discharge. Conclusion The COVID-19 pandemic is an ongoing process. Numerous centers have shared their experiences while still fighting the contagion. This paper aimed to share an experience of a single trauma hospital of a city serving a population more than 250,000. Numerous more studies based on evidence based medicine are needed to frame a golden standard approach for surgical candidates during the pandemic.

Anahtar Kelime: COVID-19 pandemic essential elective spine surgery

COVID 19 Salgını Sırasında Omurga Cerrahisi Orta Anadolu da Bir Travma Merkezi Deneyimi

Öz:

Anatolia Abstract Aim The COVID-19 has affected all aspects of public health. In order to preserve valuable medical resources, most health care systems have halted elective and non-essential surgeries. Spine surgery is no exception in this period. However, defining essential and non-essential surgeries, the management of patients and due screening process has made a clear algorithm a must. Material and Methods The patients operated for various spinal surgeries during a 9-month period at an only reference trauma and spinal surgery performing secondary step state hospital in Central Anatolia were evaluated. During this time period, a guideline in discriminating essential surgeries, handling the pre and post-operative course based on previous publications and recommendations was formed. Results During this period 70 spinal surgeries were performed. The patients were categorized into 2 groups; 1- no to low risk and 2- high risk to definite group. Each group of patients underwent distinct process during their hospital stay in order to minimize the risk of contamination. No patient operated on was diagnosed with COVID-19 during their hospital stay or 10 days following their discharge. Conclusion The COVID-19 pandemic is an ongoing process. Numerous centers have shared their experiences while still fighting the contagion. This paper aimed to share an experience of a single trauma hospital of a city serving a population more than 250,000. Numerous more studies based on evidence based medicine are needed to frame a golden standard approach for surgical candidates during the pandemic.

Anahtar Kelime: COVID-19 pandemi esansiyel elektif omurga cerrahisi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Agyeman AA, Chin KL, Landersdorfer CB, Liew D, Ofori-Asenso R: Smell and Taste Dysfunction in Patients With COVID-19: A Systematic Review and Meta-analysis. Mayo Clin Proc 2020: 95:1621-1631,
2. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, Tao Q, Sun Z, Xia L: Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology 2020:296: E32-E40,
3. Bono CM, Dohring EJ, Finkenberg JG, Ghogawala Z, Kauffman CP, Kreiner S, O'Brien DR, Reiter MF, Reitman CA, Schneider PL, Sullivan WJ, Truumees E, Wang JC. NASS guidance document on elective, emergent and urgent procedures [NASS Website]. April 22, 2020. Available at: https://www.spine.org/Portals/0/assets/downloads/ Publications/NASSInsider/NASSGuidanceDocum ent040320.pdf Accessed December 2, 2020
4. Ghebreyesus TA. WHO Director-General's opening remarks at the media briefing on COVID- 19 [World Health Organization Website]. March 11, 2020. Available at: https://www.who.int/director- general/speeches/detail/who-director-general-s- opening-remarks-at-the-media-briefing-on-covid- 19---11-march-2020 Accessed December 1, 2020
5. Jain NS, Alluri RK, Schopler SS, Hah R, Wang JC: COVID-19 and Spine Surgery: A Review and Evolving Recommendations. Global Spine J 2020;10:528-533,
6. Luo L, Liu D, Liao X, Wu X, Jing Q, Zheng J, Liu F, Yang S, Bi H, Li Z, Liu J, Song W, Zhu W, Wang Z, Zhang X, Huang Q, Chen P, Liu H, Cheng X, Cai M, Yang P, Yang X, Han Z, Tang J, Ma Y, Mao C. Contact Settings and Risk for Transmission in 3410 Close Contacts of Patients With COVID-19 in Guangzhou, China : A Prospective Cohort Study. Ann Intern Med. 2020;173:879-87.
7. Rizkalla JM, Hotchkiss W, Clavenna A, Dossett A, Syed IY: Triaging Spine Surgery and Treatment during the COVID-19 Pandemic. J Orthop: 2020:20:380-385,
8. Soffin EM, Reisener MJ, Sama AA, Beckman JD, Liguori GA, Lebl DR, Girardi FP, Cammisa FP, Hughes AP: Essential Spine Surgery During the COVID-19 Pandemic: A Comprehensive Framework for Clinical Practice from a Specialty Orthopedic Hospital in New York City. HSS J 2020: 16(Suppl 1):1-7,
9. Tamburrelli FC, Meluzio MC, Perna A, Santagada DA, Genitiempo M, Zirio G, Proietti L: Spinal surgery in COVID-19 pandemic era: One trauma hub center experience in central-southern Italy. J Orthop 2020:15;22:291-93,
10. Tekin A. Postponement of Elective Transactions and Other Measures to be Taken [Republic of Turkey, Ministry of Health]. March 17, 2020. Available at: https://hasta.saglik.gov.tr/Eklenti/36865/0/elektif- islemlerin-ertelenmesi-ve-diger-tedbirlerpdf.pdf Accessed December 1, 2020
11. Verma V, Nagar M, Jain V, Santoshi JA, Dwivedi M, Behera P, Selvanayagam R, Pal D, Singh K: Adapting Policy Guidelines for Spine Surgeries During COVID-19 Pandemic in View of Evolving Evidences: An Early Experience From a Tertiary Care Teaching Hospital. Cureus: 2020:12:e9147,
12. Watson J, Whiting PF, Brush JE. Interpreting a covid-19 test result. BMJ. 2020:;369:m1808.
13. Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, Soh CR: Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore. Can J Anesth/J Can Anesth: 2020: 67, 732–45

APA	Bozkurt I, karakoç e (2022). Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. , 61 - 71.
Chicago	Bozkurt Ismail,karakoç ebru Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. (2022): 61 - 71.
MLA	Bozkurt Ismail,karakoç ebru Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. , 2022, ss.61 - 71.
AMA	Bozkurt I,karakoç e Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. . 2022; 61 - 71.
Vancouver	Bozkurt I,karakoç e Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. . 2022; 61 - 71.
IEEE	Bozkurt I,karakoç e "Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia." , ss.61 - 71, 2022.
ISNAD	Bozkurt, Ismail - karakoç, ebru. "Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia". (2022), 61-71.

APA	Bozkurt I, karakoç e (2022). Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. Osmangazi Tıp Dergisi, 44(1), 61 - 71.
Chicago	Bozkurt Ismail,karakoç ebru Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. Osmangazi Tıp Dergisi 44, no.1 (2022): 61 - 71.
MLA	Bozkurt Ismail,karakoç ebru Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. Osmangazi Tıp Dergisi, vol.44, no.1, 2022, ss.61 - 71.
AMA	Bozkurt I,karakoç e Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. Osmangazi Tıp Dergisi. 2022; 44(1): 61 - 71.
Vancouver	Bozkurt I,karakoç e Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia. Osmangazi Tıp Dergisi. 2022; 44(1): 61 - 71.
IEEE	Bozkurt I,karakoç e "Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia." Osmangazi Tıp Dergisi, 44, ss.61 - 71, 2022.
ISNAD	Bozkurt, Ismail - karakoç, ebru. "Spine Surgery during the COVID-19 Pandemic: One Trauma Center Experience in Central Anatolia". Osmangazi Tıp Dergisi 44/1 (2022), 61-71.