Guidelines
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2020; 8(10): 1756-1762
Published online May 26, 2020. doi: 10.12998/wjcc.v8.i10.1756
French Spine Surgery Society guidelines for management of spinal surgeries during COVID-19 pandemic
Solène Prost, Yann Philippe Charles, Jérôme Allain, Jean-Luc Barat, Henri d'Astorg, Manuel Delhaye, Chistophe Eap, Fahed Zairi, Pierre Guigui, Brice Ilharreborde, Jean Meyblum, Jean-Charles Le Huec, Nicolas Lonjon, Guillaume Lot, Olivier Hamel, Guillaume Riouallon, Stéphane Litrico, Patrick Tropiano, Benjamin Blondel, the French Spine Surgery Society
Solène Prost, Patrick Tropiano, Benjamin Blondel, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Unité de Chirurgie Rachidienne, Marseille 13005, France
Yann Philippe Charles, Service de Chirurgie du Rachis, Hôpitaux Universitaires de Strasbourg, Strasbourg 67200, France
Jérôme Allain, Institut Parisien du dos, Paris 75005, France
Jean-Luc Barat, Service de Neurochirurgie, Hôpital privé Clairval – Ramsay santé, Marseille 13009, France
Henri d'Astorg, Unité de Chirurgie du Rachis, Centre Orthopédique Santy, Lyon 69008, France
Manuel Delhaye, Centre Francilien du dos, Versailles 78000, France
Chistophe Eap, CHU Reims, Hôpital Maison Blanche, Neurochirurgie, Reims 51100, France
Fahed Zairi, Hôpital Privé Le Bois Ramsay Santé, Lille 59000, France
Pierre Guigui, Hôpital Européen Georges-Pompidou HEGP, Paris 75015, France
Brice Ilharreborde, Service de Chirurgie Orthopédique Pédiatrique, CHU Robert Debré, AP-HP, Université de Paris, Paris 75019, France
Jean Meyblum, Service de Chirurgie Orthopédique, Groupe Hospitalier Paris Saint-Joseph, Paris 75014, France
Jean-Charles Le Huec, Polyclinique Bordeaux Nord Aquitaine, Bordeaux 33300, France
Nicolas Lonjon, Service de Neurochirurgie, Hôpital Gui de Chauliac, Montpellier 34090, France
Guillaume Lot, Hôpital - Fondation Rothschild, Service de Neurochirurgie, Paris 75019, France
Olivier Hamel, Clinique Des Cèdres Service de Neurochirurgie, Château D’Alliez, Cornebarrieu 31700, France
Guillaume Riouallon, Hôpital Paris Saint-Joseph, Paris 75014, France
Stéphane Litrico, Unité de Chirurgie Rachidienne, Hôpital Pasteur 2, CHU de Nice, Nice 06001, France
Author contributions: All authors wrote the guidelines; Prost S, Blondel B, Charles YP and Tropiano P wrote the draft; and all authors revised the manuscript.
Conflict-of-interest statement: No conflicts of interest are reported for this study.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Benjamin Blondel, MD, PhD, Professor, Spine Unit, Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Unité de Chirurgie Rachidienne, 264 rue Saint Pierre, Marseille 13005, France. benjamin.blondel@ap-hm.fr
Received: April 16, 2020
Peer-review started: April 16, 2020
First decision: April 24, 2020
Revised: April 27, 2020
Accepted: May 16, 2020
Article in press: May 16, 2020
Published online: May 26, 2020
Processing time: 38 Days and 20.9 Hours
Abstract

Since the outbreak of coronavirus disease 2019 (COVID-19) in December 2019 in China, various measures have been adopted in order to attenuate the impact of the virus on the population. With regard to spine surgery, French physicians are devoted to take place in the national plan against COVID-19, the French Spine Surgery Society therefore decided to elaborate specific guidelines for management of spinal disorders during COVID-19 pandemic in order to prioritize management of patients. A three levels stratification was elaborated with Level I: Urgent surgical indications, Level II: Surgical indications associated to a potential loss of chance for the patient and Level III: Non-urgent surgical indications. We also report French experience in a COVID-19 cluster region illustrated by two clinical cases. We hope that the guidelines formulated by the French Spine Surgery Society and the experience of spine surgeons from a cluster region will be helpful in order optimizing the management of patients with urgent spinal conditions during the pandemic.

Keywords: COVID-19, Spine, Surgery, Guidelines, Organization, Cluster region

Core tip: Coronavirus disease 2019 (COVID-19) pandemic led to a large reorganization of health systems. French Spine Surgery Society established guidelines for management of spinal disorders during COVID-19 pandemic in order to prioritize management of patients.