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Enhanced recovery after spine surgery: a systematic review
Neurosurgical Focus
|April 2, 2019
Summary
Enhanced recovery after surgery (ERAS) protocols show promise for spine surgery patients. Implementing ERAS pathways can reduce hospital stays and improve patient recovery without increasing complications.
Area of Science:
- Orthopedics
- Neurosurgery
- Surgical Patient Care
Background:
- Enhanced Recovery After Surgery (ERAS) is an evidence-based approach to optimize surgical patient care.
- ERAS protocols are proven to improve recovery, reduce complications, and lower costs in various surgical fields.
- Application of ERAS principles to spine surgery is a recent development.
Purpose of the Study:
- To systematically review existing literature on the implementation of ERAS programs in spine surgery.
- To evaluate the impact of ERAS protocols on patient outcomes in spinal procedures.
Main Methods:
- A systematic review of studies was conducted using PubMed and MEDLINE databases.
- Twenty full-text articles were included in the qualitative analysis.
- Included studies were primarily retrospective reviews or qualitative investigations.
Main Results:
- Most studies indicated a reduction in the length of hospital stay following ERAS implementation.
- No significant increase in readmission rates or postoperative complications was observed.
- ERAS pathways demonstrated potential for improved patient outcomes.
Conclusions:
- ERAS protocols show significant potential for spine surgery.
- Implementation can lead to reduced hospital stays, faster functional recovery, and decreased costs.
- Further research, including randomized controlled trials, is warranted to confirm these findings.
Keywords:
ACDF = anterior cervical discectomy and fusionAD = accelerated dischargeAIS = adolescent idiopathic scoliosisERAS = enhanced recovery after surgeryERSS = enhanced recovery after spine surgeryLOS = length of stayPCA = patient-controlled analgesiaPSF = posterior spinal fusionRCT = randomized controlled trialTD = traditional dischargeTLIF = transforaminal lumbar interbody fusiondegenerative spine diseaseenhanced recovery after surgeryfast-track recoveryminimally invasive surgeryscoliosisspine surgeryMore Related Videos
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