PMID- 37456692
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230718
IS  - 2590-1397 (Electronic)
IS  - 2590-1397 (Linking)
VI  - 20
DP  - 2023 Oct
TI  - Outpatient minimally invasive spine surgeries during the COVID-19 pandemic - A 
      retrospective analysis of 164 consecutive cases.
PG  - 100229
LID - 10.1016/j.wnsx.2023.100229 [doi]
LID - 100229
AB  - OBJECTIVE: To share our surgical experiences of minimally invasive cervical and 
      lumbar procedures for patients who suffered from non-fatal motor vehicle 
      accidents (MVAs) in the ambulatory surgery centers (ASCs) during the coronavirus 
      disease 2019 (COVID-19) pandemic. METHODS: Anterior cervical discectomy and 
      fusion (ACDF), anterior lumbar interbody fusion (ALIF), minimally invasive 
      laminotomy and discectomy (MILD), percutaneous endoscopic laser-assisted 
      discectomy (PELD) and percutaneous kyphoplasty (PK) were performed on carefully 
      selected patients. RESULTS: From January 2020 to December 2021, our group 
      performed 164 cases on 153 patients involving 249 intervertebral disc (IVD) 
      levels. Of these, 116 cases (70.73%) on 114 patients (74.51%) were cervical, 48 
      cases (29.27%) were lumbar (including 8 PK cases). Eight patients had both 
      cervical and lumbar procedures in a single anesthetic session (SAS) and were 
      discharged on the same day. One hundred and six ACDF cases (92.17%) were at the 
      C4-C5 and C5-C6 levels, which comprised of 146 (76.04%) IVDs. Of the 40 non-PK 
      lumbar cases, 38 (95.0%) were at L4 to S1 lumbar levels. Six of these cases 
      (15.0%) involved 2 lumbar levels. In contrast, 6 out of 8 kyphoplasties (75.0%) 
      involved lower thoracic/higher lumbar vertebral columns (T11 to L2) and 2 were at 
      the lower lumbar L4 level. CONCLUSIONS: We successfully and safely performed 
      various cervical and lumbar spine surgeries in the ASCs amid COVID-19 pandemic 
      and all patients achieved the same-day discharge (SDD). In the non-fatal MVAs, 
      mid-lower cervical (C4 to C6) and lower lumbar (L4 to S1) IVDs were the most 
      affected levels.
CI  - (c) 2023 The Author(s).
FAU - Ma, Benjiang
AU  - Ma B
AD  - Spine and Orthopedic Specialists, West Palm Beach, FL 33409, USA.
FAU - Smith, Aaron
AU  - Smith A
AD  - Spine and Orthopedic Specialists, West Palm Beach, FL 33409, USA.
LA  - eng
PT  - Journal Article
DEP - 20230629
PL  - United States
TA  - World Neurosurg X
JT  - World neurosurgery: X
JID - 101747743
PMC - PMC10344935
OTO - NOTNLM
OT  - Ambulatory surgery center
OT  - COVID-19
OT  - Minimally-invasive
OT  - Motor vehicle accident
OT  - Same day discharge
OT  - Single anesthetic session
OT  - Spine surgery
COIS- The authors declare that they have no known competing financial interests or 
      personal relationships that could have appeared to influence the work reported in 
      this paper.
EDAT- 2023/07/17 06:42
MHDA- 2023/07/17 06:43
PMCR- 2023/06/29
CRDT- 2023/07/17 04:27
PHST- 2022/12/28 00:00 [received]
PHST- 2023/05/10 00:00 [revised]
PHST- 2023/06/12 00:00 [accepted]
PHST- 2023/07/17 06:43 [medline]
PHST- 2023/07/17 06:42 [pubmed]
PHST- 2023/07/17 04:27 [entrez]
PHST- 2023/06/29 00:00 [pmc-release]
AID - S2590-1397(23)00078-9 [pii]
AID - 100229 [pii]
AID - 10.1016/j.wnsx.2023.100229 [doi]
PST - epublish
SO  - World Neurosurg X. 2023 Jun 29;20:100229. doi: 10.1016/j.wnsx.2023.100229. 
      eCollection 2023 Oct.