Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports

Andrej Džubera, Juraj Chochol, Róbert Illéš, Alica Chocholová and Erika Zemková
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Andrej Džubera: Department of Neurosurgery, Faculty of Medicine of Slovak Medical University, University Hospital—St. Michal’s Hospital, Satinského 1, 811 08 Bratislava, Slovakia
Juraj Chochol: Department of Neurosurgery, Faculty of Medicine of Slovak Medical University, University Hospital—St. Michal’s Hospital, Satinského 1, 811 08 Bratislava, Slovakia
Róbert Illéš: Department of Neurosurgery, Faculty of Medicine of Slovak Medical University, University Hospital—St. Michal’s Hospital, Satinského 1, 811 08 Bratislava, Slovakia
Alica Chocholová: Department of Pediatric Hematology and Oncology, National Institute of Children’s Diseases, Comenius University, Limbova 1, 833 40 Bratislava, Slovakia
Erika Zemková: Department of Biological and Medical Sciences, Faculty of Physical Education and Sports, Comenius University in Bratislava, Nábrežie Armádneho Generála Ludvíka Svobodu 9, 814 69 Bratislava, Slovakia

IJERPH, 2021, vol. 18, issue 21, 1-7

Abstract: Though pain is a frequent symptom of long COVID-19, little attention has been paid to vertebral algic syndrome. Therefore, we present the cases reports of two precisely selected physically active patients where vertebral algic syndrome and radiculopathy dramatically worsened in acute SARS-CoV-2 infections. The vertebral pain with radicular irritation was resistant to conservative treatment in chronic post-COVID syndrome. The neurological difficulties corresponded to the radiologic imaging presented on MRI scans. Due to the absence of standard therapeutic guidelines in literature sources, it was decided to provide routine therapeutic procedures. Spinal surgery with radicular decompression was performed within 6 months after acute SARS-CoV-2 infection. This led to the improvement of their neurological status and was in corroboration with decreases of VAS (from 9 to 0 in Patient 1 and from 7 to 1 in Patient 2). Our experience indicates that these patients benefited from the standard neurosurgical radicular decompression, and sufficient pain relief was achieved; nevertheless, the initial trigger of neurological worsening was acute SARS-CoV-2 infection.

Keywords: SARS-CoV-2 infection; back pain; radiculopathy; surgical treatment; long haulers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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