Pandemi Sürecinde Juvenil ve Adolesanlarda Kifoz ve Skolyoz Cerrahisi Deneyimlerimiz

Öz

Amaç: Biz bu çalışmada, Covid-19 pandemi sürecinde juvenil ve adolesanlara uyguladığımız major omurga cerrahileri ile ilgili tecrübelerimizi paylaşarak literatüre katkıda bulunmayı amaçladık.
Gereç ve Yöntem: Ülkemizde pandemi önlemlerinin uygulamaya başlandığı Nisan 2020’den Nisan 2021’e kadar geçen bir yıllık süreçte ameliyat ettiğimiz toplam 26 juvenil ve adelosan idiopatik skolyoz ve kifoz hastasını retrospektif olarak değerlendirdik.
Bulgular: Hastalarımızda preoperatif ve/veya postoperatif dönemde solunumsal bir komplikasyon ya da Covid-19 semptom ve bulguları görülmedi.
Sonuç: Bu pandemi döneminde, juvenil ve adolesanlarda major omurga deformitesi ameliyatlarının hem hastalarımız hem de sağlık personelimiz açısından başarılı bir şekilde yönetilmesi sağlanmıştır. 

Anahtar Kelimeler

• Adolesan
• Covid-19
• pandemi
• skolyoz
• Adolesan, Covid-19, pandemi, skolyoz

Our Experiences on Kyphosis and Scoliosis Surgery in Juvenile and Adolescent Patients During Pandemic Period

Öz

Aim In this study, we aimed to contribute to the literature by sharing our experiences regarding the major spine surgeries we have applied to juvenile and adolescent patients during the Covid-19 pandemic process. Material and Methods We retrospectively evaluated a total of 26 juvenile and adolescent idiopathic scoliosis and kyphosis patients we operated within a year from April 2020, when pandemic measures were implemented in our country up to April 2021. Results Any respiratory complications or symptoms and signs of Covid-19 were not observed in our patients in the preoperative and / or postoperative period. Conclusion During this pandemic period, it was ensured that major spine deformity surgeries in juvenile and adolescent patients were successfully managed for both our patients and our healthcare personnel.

Anahtar Kelimeler

• adolescent
• covid-19
• pandemic
• scoliosis

Kaynakça

1. 1- Anari JB, Baldwin KD, Flynn JM, Cahill PJ. What’s Important: Managing the Impact of Coronavirus on Pediatric Spine Surgery. J Bone Joint Surg Am 2020; 102: e94.
2. 2- Ramo B, Tran DP, Reddy A et al. Delay to Surgery Greater Than 6 Months Leads to Substantial Deformity Progression and Increased Intervention in Immature Adolescent Idiopathic Scoliosis (AIS) Patients: A Retrospective Cohort Study. Spine Deform 2019; 7: 428-35.
3. 3- Miyanji F, Slobogean GP, Samdani AF et al. Is larger scoliosis curve magnitude associated with increased perioperative health-care resource utilization?: a multicenter analysis of 325 adolescent idiopathic scoliosis curves. J Bone Joint Surg Am 2012; 94: 809-13.
4. 4- Miyanji F, Newton PO, Samdani AF et al. Impact of surgical waiting-list times on scoliosis surgery: the surgeon’s perspective. Spine (Phila Pa 1976) 2015; 40: 823-8.
5. 5- Rizkalla JM, Hotchkiss W, Clavenna A, Dossett A, Syed IY. Triaging Spine Surgery and Treatment during the COVID-19 Pandemic. J Orthop 2020; 20: 380-5.
6. 6- Liu G, Tan JH, Hey HWD et al. A novel hospital capacity versus clinical justification triage score (CCTS) for prioritization of spinal surgeries in the “new normal state" of the COVID‑19 pandemic. Eur Spine J 2021; 30: 1247-60.
7. 7- Prost S, Charles YP, Allain J et al. French Spine Surgery Society guidelines for management of spinal surgeries during COVID-19 pandemic. World J Clin Cases 2020; 8: 1756-62.
8. 8- Louie PK, Harada GK, McCarthy MH et al. The Impact of COVID-19 Pandemic on Spine Surgeons Worldwide. Global Spine J 2020; 10: 534–52.

9. 9- Sciubba DM, Ehresman J, Pennington Z et al. Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources: Application to the Coronavirus Disease 2019 (COVID-19) Pandemic and Beyond. World Neurosurg 2020; 140: e373-e380.
10. 10- Arnaout O, Patel A, Carter B, Chiocca EA. Letter: Adaptation Under Fire: Two Harvard Neurosurgical Services During the COVID-19 Pandemic. Neurosurgery 2020; 87: E173-E177.
11. 11- Zou L, Ruan F, Huang M et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 2020; 382:1177-9.
12. 12- Reed LK, Wen J, Liang B, Wang X, Feng D, Huang JH. Safely performing neurosurgical procedures during COVID-19 pandemic. Neurol. Res 2020; 42: 811-7.
13. 13- Al-shamsi HO, Alhazzani W, Alhuraiji A et al. A practical approach to the management of cancer patients during the novel coronavirus disease, (covid-19) pandemic: an international collaborative group. Oncologist 2020; 25: e936-e945.
14. 14- Guan WJ, Liang WH, Zhao Y et al. Comorbidity and its impact on 1590 patients with Covid- 19 in China: A Nationwide Analysis. Eur Respir J 2020; 55: 2000547.
15. 15- Maltezou HC, Magaziotou I, Dedoukou X et al. Children and Adolescents With SARS-CoV-2 Infection: Epidemiology, Clinical Course and Viral Loads. Pediatr Infect Dis J 2020; 39: e388-e392.
16. 16- Shen K, Yang Y, Wang T et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts' consensus statement. World J Pediatr 2020;16: 223-31.
17. 17- Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health 2020; 4: e10-e11.
18. 18- Bajunaid K, Alatar A, Alqurashi A et al. The longitudinal impact of COVID-19 pandemic on neurosurgical practice. Clin Neurol Neurosurg 2020; 198: 106237.
19. 19- Viswanathan VK, Subramanian S, Rao AK. Principles for Managing Patients with Spinal Ailments in the Coronavirus Disease 2019 Era: What Do We Know So Far? An Evidence-Based, Narrative Review. Asian Spine J 2020; 14: 572-80.