• 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, and French Spine Surgery Society.
• Aix-Marseille Université, APHM, CNRS, ISM, CHU Timone, Unité de Chirurgie Rachidienne, Marseille 13005, France.
• World J Clin Cases. 2020 May 26; 8 (10): 1756-1762.

AbstractSince 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.©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.

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