ArticleWorld neurosurgery2023
The Effect of the Coronavirus Disease 2019 (COVID-19) Pandemic on Elective Cervical Spine Surgery Utilization and Complications in the United States: A Nationwide Temporal Trends Analysis.
Article in World neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sarcopenia as a predictor of poor functional outcome of cervical spine surgery: a systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Trends and Racial/Ethnic Disparities in Pharmacologic and Surgical Management of Treated Female Patients With Urinary Incontinence.Neurourology and urodynamics · 2026Observational
- The impact of COVID-19 on spine surgery: temporal trends in complications and patient-reported outcomes across a statewide cohort.Journal of spine surgery (Hong Kong) · 2026Article
- Trends in spinal surgery pre- and post-pandemic in a large metropolitan area.Neurosurgical review · 2025Article
- Article
- Trends in inpatient orthopedic surgery during the COVID-19 pandemic in Japan: a nationwide data study.BMC musculoskeletal disorders · 2024Article
- Healthcare burden changes by restricted physical activities in lumbar spinal stenosis and spondylolisthesis: a retrospective large cohort study during the COVID-19 pandemic.BMC musculoskeletal disorders · 2024Article
- Demographic and Socioeconomic Trends in Cervical Fusion Utilization from 2004 Through 2021 and the COVID-19 Pandemic.World neurosurgery · 2024Article
- The total joint arthroplasty care patterns in China during the COVID-19 pandemic: a multicenter cohort study.Frontiers in public health · 2024Article
- Impact of the COVID-19 pandemic on surgical volume and outcomes in spine surgery: a multicentre retrospective study in Tokyo.BMJ open · 2023Article
- Impact on Spine Surgery during the First Two Years of COVID-19 Pandemic: A Nationwide Study in South Korea.Journal of clinical medicine · 2023Article
- Global research hotspots and trends in the field of spine surgery during the COVID-19 pandemic: A bibliometric and visual analysis.Frontiers in surgery · 2022Article
- National trends in post-operative complications for anterior cervical discectomy and fusion versus cervical disc arthroplasty from 2012 to 2022.Journal of craniovertebral junction & spineArticle
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAs a result of the coronavirus disease 2019 (COVID-19) pandemic, elective surgeries nationwide were suspended. The objective was to compare temporal trends in patient demographics, case volumes, and postoperative complications of patients undergoing elective cervical spine surgery from pre-COVID-19 (2019-2020 Q1) to post-COVID-19 (2020 Q2-Q4).
methodsThe 2019 to 2020 American College of Surgeon's National Surgery Quality Improvement Program database was queried for common elective cervical spine surgeries. Patients pre-COVID-19 (2019-2020 Q1) were compared with those undergoing surgery during post-COVID-19 (2020 Q2-Q4) protocols. Procedural use, patient demographics, and complications were compared. Linear regression was used to evaluate case volume changes over time. P values less than 0.05 were significant.
resultsIn total, 31,013 patients underwent elective cervical spine surgery in 2019 (N = 16,316) and 2020 (N = 14,697); an overall 10% decline. Compared with the calendar year 2019 through 2020 Q1 mean, elective surgery volume decreased by 21.6% in 2020 Q2 and never returned to prepandemic baseline. The percentage decline in case volume from 2019 to 2020 Q1 to 2020 Q2 was greatest for anterior cervical discectomy and fusion (23.3%), followed by cervical decompression (23.4%), posterior cervical fusion (15.0%), and cervical disc arthroplasty and vertebral corpectomy (13.7%). Patients undergoing surgery in 2020 Q2-Q4 had overall greater comorbidity burden (American Society of Anesthesiologists grade 3 and 4) (P < 0.001). From 2019-2020 Q1 versus 2020 Q2-Q4, there was a significant increase in total complication (5.5% vs. 6.8%, P < 0.001), reoperation (1.9% vs. 2.2%, P = 0.048), and mortality (0.25% vs. 0.37%, P = 0.049) rates.
conclusionsElective surgery declined drastically during the second quarter of 2020. Patients undergoing surgery during the pandemic had an overall greater comorbidity burden, resulting in increased total complication and mortality rates over the study period.
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