PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要：
■分享我们为在2019年冠状病毒病（COVID-19）大流行期间在门诊手术中心（ASC）遭受非致命机动车事故（MVA）的患者进行微创颈椎和腰椎手术的手术经验。
■颈椎前路椎间盘切除融合术(ACDF),前路腰椎椎间融合术(ALIF),微创椎板切开术和椎间盘切除术（MILD），对精心选择的患者进行经皮内镜激光辅助椎间盘切除术（PELD）和经皮椎体后凸成形术（PK）。
■从2020年1月至2021年12月，我们小组对153例患者进行了164例病例，涉及249个椎间盘（IVD）水平。其中,116例(70.73%)中114例(74.51%)为宫颈,腰椎48例(29.27%)(其中PK8例)。八名患者在一次麻醉（SAS）中同时接受了颈椎和腰椎手术，并于同一天出院。106例ACDF(92.17%)处于C4-C5和C5-C6水平，其中包括146个（76.04%）IVD。在40例非PK腰椎病例中，38（95.0%）在L4至S1腰椎水平。其中6例（15.0％）涉及2个腰椎水平。相比之下,8个椎体后凸畸形中有6个（75.0％）涉及下胸/上腰椎柱（T11至L2），2个位于下腰椎L4水平。
■在COVID-19大流行期间，我们成功且安全地在ASC中进行了各种颈椎和腰椎手术，所有患者均实现了当天出院（SDD）。在非致命MVA中，中下颈椎（C4至C6）和下腰椎（L4至S1）的IVD是受影响最大的水平。
■颈椎前路椎间盘切除融合术(ACDF),前路腰椎椎间融合术(ALIF),微创椎板切开术和椎间盘切除术（MILD），对精心选择的患者进行经皮内镜激光辅助椎间盘切除术（PELD）和经皮椎体后凸成形术（PK）。
■从2020年1月至2021年12月，我们小组对153例患者进行了164例病例，涉及249个椎间盘（IVD）水平。其中,116例(70.73%)中114例(74.51%)为宫颈,腰椎48例(29.27%)(其中PK8例)。八名患者在一次麻醉（SAS）中同时接受了颈椎和腰椎手术，并于同一天出院。106例ACDF(92.17%)处于C4-C5和C5-C6水平，其中包括146个（76.04%）IVD。在40例非PK腰椎病例中，38（95.0%）在L4至S1腰椎水平。其中6例（15.0％）涉及2个腰椎水平。相比之下,8个椎体后凸畸形中有6个（75.0％）涉及下胸/上腰椎柱（T11至L2），2个位于下腰椎L4水平。
■在COVID-19大流行期间，我们成功且安全地在ASC中进行了各种颈椎和腰椎手术，所有患者均实现了当天出院（SDD）。在非致命MVA中，中下颈椎（C4至C6）和下腰椎（L4至S1）的IVD是受影响最大的水平。
