Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports

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 infe...

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Autores principales: Andrej Džubera, Juraj Chochol, Róbert Illéš, Alica Chocholová, Erika Zemková
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4b3cc93d6eba45bda5044210d58e04b9
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spelling oai:doaj.org-article:4b3cc93d6eba45bda5044210d58e04b92021-11-11T16:34:51ZVertebral Algic Syndrome Treatment in Long COVID—Cases Reports10.3390/ijerph1821114571660-46011661-7827https://doaj.org/article/4b3cc93d6eba45bda5044210d58e04b92021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11457https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Though 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.Andrej DžuberaJuraj ChocholRóbert IlléšAlica ChocholováErika ZemkováMDPI AGarticleSARS-CoV-2 infectionback painradiculopathysurgical treatmentlong haulersMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11457, p 11457 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2 infection
back pain
radiculopathy
surgical treatment
long haulers
Medicine
R
spellingShingle SARS-CoV-2 infection
back pain
radiculopathy
surgical treatment
long haulers
Medicine
R
Andrej Džubera
Juraj Chochol
Róbert Illéš
Alica Chocholová
Erika Zemková
Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports
description 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.
format article
author Andrej Džubera
Juraj Chochol
Róbert Illéš
Alica Chocholová
Erika Zemková
author_facet Andrej Džubera
Juraj Chochol
Róbert Illéš
Alica Chocholová
Erika Zemková
author_sort Andrej Džubera
title Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports
title_short Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports
title_full Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports
title_fullStr Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports
title_full_unstemmed Vertebral Algic Syndrome Treatment in Long COVID—Cases Reports
title_sort vertebral algic syndrome treatment in long covid—cases reports
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4b3cc93d6eba45bda5044210d58e04b9
work_keys_str_mv AT andrejdzubera vertebralalgicsyndrometreatmentinlongcovidcasesreports
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AT robertilles vertebralalgicsyndrometreatmentinlongcovidcasesreports
AT alicachocholova vertebralalgicsyndrometreatmentinlongcovidcasesreports
AT erikazemkova vertebralalgicsyndrometreatmentinlongcovidcasesreports
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