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There is little data on the nationwide impact of the COVID-19 epidemic on pediatric neurosurgery operating volumes. We examined the overall and seasonal patterns of pediatric neurosurgical operation volumes in the United States during the pandemic to pre- pandemic periods in this study, which used a nationwide database called TriNetX. COVID-19 incidence in the United States began to climb in September 2020 and peaked between December 2020 and January 2021. There was an inverse connection between pediatric neurosurgery operating volumes and the incidence of COVID-19 patients throughout this time period. When compared to pre-pandemic years, there was a substantial decline in the number of pediatric shunt (11.7% mean change, p= 0.006), epilepsy (16.6%, p 0.001), and neurosurgical trauma (13.8%, p 0.001) procedures from March 2020 to May 2021
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