The patient was a 28-year-old admitted after a motorcycle accident and diagnosed with C5-6 burst fracture with SCI resulting in complete C5 tetraplegia AIS A
COVID-19 screening consisted in history of exposure and symptoms and ruled out the suspicion of infection
On day 4 he was found positive to SARS-CoV-2, on day 6 he was diagnosed with a mild degree of COVID-19 pneumonia, the patient died on day 10 and cause of death remains uncertain
104 hospital personnel were quarantined after close contact with the patient

patients with SCI and concomitant COVID-19 might be at a higher risk of developing venous thromboembolism, including pulmonary embolism
COVID-19 patients with cervical cord injury might develop dyspnea and respiratory failure earlier than those without SCI
all SCI patients eligible for surgical and rehabilitation therapy should be screened for COVID-19 and rehabilitative personnel should use PPE
rehabilitation management should be reorganized during the epidemic, social distancing policies should be implemented for in-person rehabilitation and alternative methods, such as telerehabilitation, should be adopted whenever possible