Examples of triaging spine surgery in the COVID-19 era .
|Level||Surgical Spine Pathologies||Recommendations|
|Level 1||Cervical or thoracic myelopathy (symptomatic; disc herniations, infections, tumor burden)||Proceed with surgical intervention at hospital location.|
|Level 2||Acute or subacute lumbar disc herniations (up to 6 weeks) with intractable pain||Proceed with surgical intervention at ambulatory surgical center (ASC) versus consider at hospital facility if low COVID-19 census.|
|Level 3||Compression fracture (without neurologic deficits)||Defer surgery or reconsider risks versus benefits of continued conservative management.|
|Consider course of steroid therapy (injection or oral).|
|Odontoid fractures in elderly will be managed conservatively, with option of treating symptomatic nonunion surgically in future.|
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