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Outpatient minimally invasive spine surgeries during the COVID-19 pandemic – A retrospective analysis of 164 consecutive cases – Lumbar Fusion

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This article summarizes the surgical experiences of minimally invasive cervical and lumbar procedures performed on patients who suffered non-fatal motor vehicle accidents (MVAs) during the COVID-19 pandemic. The study focuses on surgeries conducted in ambulatory surgery centers (ASCs) and includes procedures like 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). The results show that from January 2020 to December 2021, 164 cases were performed on 153 patients, with 116 cases being cervical and 48 cases being lumbar. The study concludes that these surgeries were successfully and safely performed in ASCs, and all patients achieved same-day discharge (SDD). The most affected intervertebral disc (IVD) levels were mid-lower cervical (C4 to C6) and lower lumbar (L4 to S1) in non-fatal MVAs

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spinal centre in London

Published article

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.

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World Neurosurg X. 2023 Jun 29;20:100229. doi: 10.1016/j.wnsx.2023.100229. eCollection 2023 Oct.ABSTRACTOBJECTIVE: 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,

World Neurosurg X. 2023 Jun 29;20:100229. doi: 10.1016/j.wnsx.2023.100229. eCollection 2023 Oct.

ABSTRACT

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.

PMID:37456692 | PMC:PMC10344935 | DOI:10.1016/j.wnsx.2023.100229

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Outpatient minimally invasive spine surgeries during the COVID-19 pandemic – A retrospective analysis of 164 consecutive cases

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World Neurosurg X. 2023 Jun 29;20:100229. doi: 10.1016/j.wnsx.2023.100229. eCollection 2023 Oct.ABSTRACTOBJECTIVE: 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

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