Narrative ReviewSafe Spine Surgery During the COVID-19 PandemicToombs, Courtney S. MD*; Boody, Barrett S. MD†; Bronson, Wesley H. MD‡; Girasole, Gerard J. MD§,∥,¶; Russo, Glenn S. MD, MS§,∥,¶Author Information *Department of Orthopaedic Surgery, Yale New Haven Hospital, CT †Department of Orthopaedic Surgery, Indiana University Hospital, IN ‡Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY ∥Connecticut Orthopaedics §Department of Surgery, Frank H. Netter School of Medicine, Quinnipiac University, Hamden ¶St. Vincent’s Medical Center, Bridgeport, CT The authors declare no conflict of interest. Reprints: Glenn S. Russo, MD, MS, Connecticut Orthopaedics, 2408 Whitney Avenue, Hamden, CT 06518 (e-mail: [email protected]). Clinical Spine Surgery: April 2021 - Volume 34 - Issue 3 - p 87-91 doi: 10.1097/BSD.0000000000001084 Buy Metrics Abstract Safe spine surgery is possible during the COVID-19 pandemic. Certain urgent procedures must still be performed during this challenging time to prevent permanent long-term disability or death for patients. Precautions must be taken in the operating room to optimize safety, including the use of personal protective equipment and appropriate room setup and anesthesia and equipment optimization. Evidence-based guidelines to create a safe operative paradigm for use in future viral outbreaks are paramount. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.