TITLE:
Diagnosis and Treatment and Infection Protection Strategy of Osteoporotic Vertebral Compression Fractures Minimally Invasive Percutaneous Kyphoplasty Surgery during the Prevention and Control of COVID-19
AUTHORS:
Xinming Yang, Chaowei Yang, Lixing Chen, Yao Yao, Ye Tian, Yupeng Sun
KEYWORDS:
COVID-19, Osteoporotic Vertebral Compression Fractures, Diagnosis and Treatment, Percutaneous Kyphoplasty, Operating Room Management, Infection Protection
JOURNAL NAME:
Surgical Science,
Vol.13 No.12,
December
12,
2022
ABSTRACT: Background: As the global novel coronavirus pneumonia (NCP) remains severe, elderly
people are at high risk for NCP and osteoporotic vertebral compression
fractures, with high complications and mortality. How to treat patients and
protect medical staff from infection, and at the same time strictly prevent the
occurrence of clustered transmission events in the hospital, the establishment
of perfect pre-hospital emergency measures and infection prevention and control
strategy is the first element to ensure success. Objective: To establish the diagnosis and treatment and infection protection
strategy for Osteoporotic vertebral compression fractures (OVCF) patients undergoing minimally invasive percutaneous kyphoplasty (PKP) surgery during the prevention and control of COVID-19, so as to ensure
the stable, orderly and safe medical treatment. Methods: A total of 583 OVCF patients were admitted to the First Affiliated
Hospital of Hebei North University during the epidemic prevention and control
period from January 2020 to July 2022. After urgent and outpatient strict
standardized screening, 382 patients met the inclusion criteria, including 112 males
and 270 females, aged (70.50 ± 5.49) years. The preoperative visual analogue
scale (VAS) score was 6.92 ± 1.86. Preoperative Oswestry disability index (ODI)
was 74.67 ± 4.84. The satisfaction rate was (45.89 ± 3.67) %. According to the clinical diagnostic criteria and
classification, 367 patients were diagnosed as ordinary OVCF, including 156
cases of mild compression and 226 cases of moderate compression. The clinical
classification of 15 patients with OVCF diagnosed as COVID-19 was type I, including 10 cases of mild COVID-19 and 5 cases of
common COVID-19. All patients were treated with PKP. Results: All patients were followed up at 1 day, 1 month and 3 months after
operation, VAS (2.01 ± 0.56, 0.45 ± 0.11, 0 ± 0), ODI (45.41 ± 4.15, 10.22 ± 2.73, 4.03 ±
1.57) and satisfaction (90.12%, 95.57%, 99.23%) were significantly improved
compared with those before operation (p medical staff. Conclusions: The implementation of the diagnosis and treatment and infection
protection strategy for OVCF patients undergoing minimally invasive PKP surgery
during the prevention and control of COVID-19 has a guiding role in preventing
the spread of infection, improving the cure rate, promoting rapid recovery,
reducing complications and reducing mortality.