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Principles for Managing Patients with Spinal Ailments in the Coronavirus Disease 2019 Era: What Do We Know So Far? An Evidence-Based, Narrative Review.
Viswanathan, Vibhu Krishnan; Subramanian, Surabhi; Rao, Arthi K.
  • Viswanathan VK; Department of Spine Surgery, Ganga Hospital, Coimbatore, India.
  • Subramanian S; Department of Radiodiagnosis, Ganga Hospital, Coimbatore, India.
  • Rao AK; Division of Clinical Microbiology, Department of Laboratory Services, MIOT International, Chennai, India.
Asian Spine J ; 14(4): 572-580, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-526597
Semantic information from SemMedBD (by NLM)
1. Illness (finding) PROCESS_OF Patients
Subject
Illness (finding)
Predicate
PROCESS_OF
Object
Patients
2. Intervention regimes AFFECTS Neurologic Deficits
Subject
Intervention regimes
Predicate
AFFECTS
Object
Neurologic Deficits
3. Procedure on spinal cord (procedure) AFFECTS Coronavirus Infections
Subject
Procedure on spinal cord (procedure)
Predicate
AFFECTS
Object
Coronavirus Infections
4. Procedure on spinal cord (procedure) AFFECTS COVID-19
Subject
Procedure on spinal cord (procedure)
Predicate
AFFECTS
Object
COVID-19
5. IMPACT gene AFFECTS COVID-19
Subject
IMPACT gene
Predicate
AFFECTS
Object
COVID-19
6. Neurosurgical Procedures AFFECTS Coronavirus Infections
Subject
Neurosurgical Procedures
Predicate
AFFECTS
Object
Coronavirus Infections
7. COVID-19 AFFECTS Surgeon
Subject
COVID-19
Predicate
AFFECTS
Object
Surgeon
8. Coronavirus Infections AFFECTS Surgeon
Subject
Coronavirus Infections
Predicate
AFFECTS
Object
Surgeon
9. Illness (finding) PROCESS_OF Patients
Subject
Illness (finding)
Predicate
PROCESS_OF
Object
Patients
10. Intervention regimes AFFECTS Neurologic Deficits
Subject
Intervention regimes
Predicate
AFFECTS
Object
Neurologic Deficits
11. Procedure on spinal cord (procedure) AFFECTS Coronavirus Infections
Subject
Procedure on spinal cord (procedure)
Predicate
AFFECTS
Object
Coronavirus Infections
12. Procedure on spinal cord (procedure) AFFECTS COVID-19
Subject
Procedure on spinal cord (procedure)
Predicate
AFFECTS
Object
COVID-19
13. IMPACT gene AFFECTS COVID-19
Subject
IMPACT gene
Predicate
AFFECTS
Object
COVID-19
14. Neurosurgical Procedures AFFECTS Coronavirus Infections
Subject
Neurosurgical Procedures
Predicate
AFFECTS
Object
Coronavirus Infections
15. COVID-19 AFFECTS Surgeon
Subject
COVID-19
Predicate
AFFECTS
Object
Surgeon
16. Coronavirus Infections AFFECTS Surgeon
Subject
Coronavirus Infections
Predicate
AFFECTS
Object
Surgeon
ABSTRACT
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.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Reviews Language: English Journal: Asian Spine J Year: 2020 Document Type: Article Affiliation country: Asj.2020.0248

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Reviews Language: English Journal: Asian Spine J Year: 2020 Document Type: Article Affiliation country: Asj.2020.0248