The impact of SARS-CoV-2 pandemic on Oncologic and Degenerative Spine Surgery Department activity: the experience of Rizzoli Orthopaedic Institute under COVID-19 lockdown

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Abstract

OBJECTIVE: Experience of Department of Oncologic and Degenerative Spine Surgery of Rizzoli Orthopaedic Institute during SARS-CoV-2 pandemic lockdown.

PATIENTS AND METHODS: Retrospective observational study of surgically treated patients from 09th March 2020 to 04th May 2020.

DATA COLLECTED: age, sex, type of disease, neurological status, days of hospitalization, complications and type of discharge. A comparison analysis with same period of the last year was performed in order to evaluate the impact of COVID-19 spreading on daily surgical activity.

RESULTS: A total of 107 surgical procedures in 102 patients were performed from 09th March 2020 to 04th May 2020. Analysis showed a statistically significant difference in age, sex, ASIA class and type of treated disease compared to the same period of the last year (p=0.042, 0.006, 0.022 and 0.007, respectively). No statistically significant differences were observed in type of discharge, length of hospitalization and complications (p= 0.447, 0.261 and 0.127, respectively). 3 COVID-19 infections have been identified in hospitalized patients. 1 COVID-19 patient wad admitted from Emergency Department and was managed according to a dedicated path.

CONCLUSIONS: Surgical activity was paradoxically increased during SARS-CoV-2 pandemic lockdown through the management of urgent and non-deferrable spinal disease with a low rate (3,9%) of COVID-19 infections.

Original languageEnglish
Pages (from-to)7519-7523
Number of pages5
JournalEuropean Review for Medical and Pharmacological Sciences
Volume24
Issue number13
DOIs
Publication statusPublished - Jul 2020

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Betacoronavirus/isolation & purification
  • Child
  • Coronavirus Infections/surgery
  • Female
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Neoplasms/surgery
  • Pandemics
  • Pneumonia, Viral/surgery
  • Retrospective Studies
  • Spine/surgery
  • Young Adult

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