|
|
|
| Effect of combined management of orthopedics and emergency surgery in the treatment of elderly vertebral compression fractures under the COVID-19 pandemic |
| CHEN Xiang WANG Hua CHANG Hong XU Hua-liang HUANG Xu-sheng CHEN Li-yan SONG Yan-cheng▲ |
| Department of Orthopedics,the First Affiliated Hospital of Guangdong Pharmaceutical University |
|
|
|
|
Abstract Objective To investigate the surgical effect and safety of combined management of orthopedics and emergency surgery in the treatment of elderly vertebral compression fractures under the COVID-19 pandemic.Methods A retrospective analysis of the clinical data of 30 elderly patients with vertebral compression fractures under the joint management of orthopedics and emergency surgery from March to April 2020 was conducted and selected as a joint group.Another batch of 30 elderly patients with vertebral compression during the non-epidemic period was classified as a control group.The preoperative waiting time,hospital stay,operation duration,bone cement injection volume,postoperative visual analogue scale (VAS) score,postoperative Cobb angle were recorded in the two groups,and the occurrence of postoperative complications was observed.Results No medical staff was infected with COVID-19,and no hospital infection occurred.The preoperative waiting time of the joint group was shorter than that of the control group,and the difference was statistically significant (P＜0.05).The hospital stay,operative duration,bone cement injection volume,postoperative VAS score,postoperative Cobb angle,and total postoperative complications rate were not significantly different between the groups (P＞0.05).Conclusion Under the COVID-19 pandemic,the joint management of orthopedics and emergency surgery for the treatment of elderly vertebral compression fractures in multidisciplinary collaborations can reduce the waiting time before surgery and increase the efficiency of diagnosis and treatment at premise of fully implementing anti-epidemic measures.
|
|
|
|
|
|
| [1] |
Zhu N，Zhang D，Wang W，et al.A Novel Coronavirus from Patients with Pneumonia in China，2019[J].N Engl J Med，2020，382（8）：727-733.
|
| [2] |
Eurosurveillance Editorial T.Note from the editors：World Health Organization declares novel coronavirus（2019-nCoV）sixth public health emergency of international concern[J].Euro Surveill，2020，25（5）：200131e.
|
| [3] |
Rothan HA，Byrareddy SN.The epidemiology and pathogenesis of coronavirus disease （COVID-19） outbreak[J].J Autoimmun，2020：102433.
|
| [4] |
Adhikari SP，Meng S，Wu Y，et al.Epidemiology，causes，clinical manifestation and diagnosis，prevention and control of coronavirus disease （COVID-19）during the early outbreak period：a scoping review[J].Infect Dis of Poverty，2020，9（1）：29.
|
| [5] |
谢辉，陈浩鹏，王本杰，等.骨水泥弥散分布类型对不同部位骨质疏松性椎体压缩骨折治疗效果的影响[J].中国组织工程研究，2020，24（28）：4505-4510.
|
| [6] |
新型冠状病毒肺炎诊疗方案（试行第六版）[J].中国感染控制杂志，2020，19（2）：192-195.
|
| [7] |
Jin YH，Cai L，Cheng ZS，et al.A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus（2019-nCoV） infected pneumonia （standard version）[J].Mil Med Res，2020，7（1）：4.
|
| [8] |
Ahn D，Shin H，Kim M，et al.Current Status of Epidemiology，Diagnosis，Therapeutics，and Vaccines for Novel Coronavirus Disease 2019 （COVID-19）[J].J Microbiol Biotechnol，2020，30（3）：313-324.
|
| [9] |
吴巍，关邯峰，方忠，等.新型冠状病毒肺炎疫情期骨科诊疗的规范化流程建议[J].骨科，2020，11（2）：93-99.
|
| [11] |
印平，马远征，马迅，等.骨质疏松性椎体压缩性骨折的治疗指南[J].中国骨质疏松杂志，2015，21（6）：643-648.
|
| [12] |
韩济生，樊碧发，李荣春，等.新型冠状病毒肺炎临床防控疼痛科专家共识[J].中国疼痛医学杂志，2020，26（4）：241-245.
|
| [10] |
Park JW，Park J，Jeon HJ，et al.Kümmell′s disease treated with percutaneous vertebroplasty：minimum 1 year followup[J].Korean J Neurotrauma，2017，13（2）：119-123.
|
| [13] |
李春辉，黄勋，蔡虻，等.新冠肺炎疫情期间医疗机构不同区域工作岗位个人防护专家共识[J].中国感染控制杂志，2020，19（3）：199-213.
|
| [14] |
李六亿，吴安华.新型冠状病毒医院感染防控常见困惑探讨[J].中国感染控制杂志，2020，19（2）：105-108.
|
| [15] |
张耀申，海涌，张强，等.新型冠状病毒肺炎疫情下骨科手术防护策略[J].中国矫形外科杂志，2020，28（4）：289-292.
|
|
|
|
