Consensus on standardized diagnosis and treatment for osteoporotic vertebral compression fracture patients during epidemic of corona virus disease 2019

Zhong Fang; Baorong HE; Dingjun Hao; Feng LI; Liang Yan; Yanzheng Gao; Shiqing Feng; Tiansheng Sun; Dianming Jiang; Jiwei Tian; Huan Wang; Yingze Zhang; Shunwu Fan; Yue Zhu; Yijian Liang; Yun Tian; Bo LI; Weimin Jiang; Jingye Wang; Xiaohui Mao; Changsheng Zhu; Yali LI; Lijun HE; Yuan HE; Qindong Shi; Shuixia LI; Jing Wang; Zijun Gao; Buhuai Dong; Honghui YU; Yonghong Jiang

Return

Consensus on standardized diagnosis and treatment for osteoporotic vertebral compression fracture patients during epidemic of corona virus disease 2019

VernacularTitle: 新型冠状病毒肺炎疫情防控期间骨质疏松性椎体压缩骨折诊疗策略专家共识
Author: Zhong FANG ¹ ; Baorong HE ² ; Dingjun HAO ² ; Feng LI ¹ ; Liang YAN ² ; Yanzheng GAO ³ ; Shiqing FENG ⁴ ; Tiansheng SUN ⁵ ; Dianming JIANG ⁶ ; Jiwei TIAN ⁷ ; Huan WANG ⁸ ; Yingze ZHANG ⁹ ; Shunwu FAN ¹⁰ ; Yue ZHU ¹¹ ; Yijian LIANG ¹² ; Yun TIAN ¹³ ; Bo LI ¹⁴ ; Weimin JIANG ¹⁵ ; Jingye WANG ¹⁶ ; Xiaohui MAO ¹⁷ ; Changsheng ZHU ¹⁷ ; Yali LI ¹⁸ ; Lijun HE ¹⁹ ; Yuan HE ¹⁹ ; Qindong SHI ²⁰ ; Shuixia LI ²¹ ; Jing WANG ²¹ ; Zijun GAO ²¹ ; Buhuai DONG ²¹ ; Honghui YU ²² ; Yonghong JIANG ²³
Author Information

1. Department of Orthopedics, Tongji Hospital, Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China
2. Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University School of Medicine, Xi'an 710054, China
3. Department of Orthopedics, People's Hospital of Henan Province, Zhengzhou 450000, China
4. Department of Orthopedics, General Hospital of Tianjin Medical University , Tianjin 300052, China
5. Department of Orthopedics, Seventh Medical Center of General Hospital of PLA, Beijing 100700, China
6. Department of Orthopedics, Third Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
7. Department of Orthopedics, Jiangbei People's Hospital, Nanjing 210048, China
8. Department of Spine Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, China
9. Trauma Emergency Center, Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
10. Department of Orthopedics, Sir Run Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310020, China
11. Department of Orthopedics, First Affiliated Hospital of China Medical University, Shenyang 110001, China
12. Department of Orthopedics, Third People's Hospital of Chengdu, Chengdu 610031, China
13. Department of Orthopedics, Third People's Hospital of Pecking University, Beijing 100191, China
14. Department of Orthopedics, Guizhou Provincial People's Hospital, Guiyang 550002, China
15. Department of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou 215006, China
16. Department of Infection, Shaanxi Friendship Hospital, Xi'an 710068, China
17. Department of Respiratory Medicine, Xi'an Chest Hospital, Xi'an 710100, China
18. Department of Respiratory Intensive Care Unit, Second Hospital, Xian Jiaotong University School of Medicine, Xian 710061, China
19. Department of Orthopedics, Fifth People's Hospital of Xi'an, Xi'an 710082, China
20. Department of Critical Care, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
21. Department of Anesthesiology, Honghui Hospital, Xi'an Jiaotong University School of Medicine, Xi'an 710054, China
22. Department of Anesthesiology, Tongji Hospital Affiliated Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China
23. Department of CT Room, Honghui Hospital, Xi'an Jiaotong University School of Medicine, Xi'an 710054, China
Publication Type:Guideline
Keywords: Coronavirus infections; Pneumonia; Osteoporotic fractures; Spinal fractures; Infection control
From: Chinese Journal of Trauma 2020;36(2):117-123
CountryChina
Language:Chinese
Abstract: Since December 2019, the corona virus disease 2019 (COVID-19) caused by the 2019 novel coronavirus (2019-nCoV) has been reported in Wuhan, Hubei Province. Almost 70% of patients susceptible to 2019-nCoV are over age of 50 years, with extremely large proportion of critical illness and death of the elderly patients. Meanwhile, the elderly patients are at high risk of osteoporotic fractures especially osteoporotic vertebral compression fractures (OVCF). During the prevention and control of COVID-19 epidemic, orthopedists are confronted with the following difficulties including how to screen and protect OVCF patients, how to accurately diagnose and assess the condition of OVCF patients with suspected or confirmed COVID-19, and how to develop reasonable treatment plans and comprehensive protective measures in emergency and outpatient clinics. In order to standardize the diagnosis and treatment of patients with OVCF diagnosed with COVID-19, the authors jointly develop this expert consensus. The consensus systematically recommends the standardized emergency and outpatient screening and confirmation procedures for OVCF patients with suspected or confirmed COVID-19 and protective measures for emergency and outpatient clinics. Moreover, the consensus describes the grading and classification of OVCF patients diagnosed with COVID-19 according to the severity of illness and recommends different treatment plans and corresponding protective measures based on the different types and epidemic prevention and control requirements.