Related Experiment Video
Updated: Jun 16, 2025
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Enhanced recovery after surgery in children with congenital scoliosis
1Department of Spine, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Zhengzhou, China.
Insights
The Enhanced Recovery After Surgery (ERAS) protocol improves recovery for children with congenital scoliosis, reducing pain, fever, and hospital stay while maintaining quality of life.
Area of Science:
- Pediatric Surgery
- Orthopedics
- Anesthesiology
Background:
- Congenital scoliosis requires complex surgical correction.
- Optimizing perioperative care is crucial for pediatric surgical outcomes.
Purpose of the Study:
- To evaluate the impact of the Enhanced Recovery After Surgery (ERAS) protocol.
- To assess ERAS effectiveness in pediatric congenital scoliosis corrective surgery.
Main Methods:
- Retrospective analysis of 156 pediatric patients undergoing congenital scoliosis surgery.
- Comparison between ERAS protocol group and a control group.
- Propensity score matching for patient cohort analysis.
Main Results:
- ERAS group showed reduced pain, lower fever incidence (14.1% vs 33.3%), and improved oral intake within 3 days.
- Expedited bowel function recovery and shorter hospital stays observed in the ERAS cohort.
- Lower postoperative IL-6 levels in the ERAS group, with similar hemoglobin and albumin levels.
Conclusions:
- The ERAS protocol enhances early perioperative recovery in pediatric congenital scoliosis surgery.
- ERAS effectively alleviates postoperative stress responses.
- Favorable quality of life outcomes are maintained with the ERAS protocol.
Abstract:
To assess the impact of Enhanced Recovery After Surgery (ERAS) protocol in children undergoing corrective surgery for congenital scoliosis. A retrospective analysis was conducted on children undergoing surgical correction for congenital scoliosis, with participants categorized into either the ERAS group or the control group. Comparative evaluations were made across clinical, surgical, laboratory, and quality of life parameters. Following propensity score matching, 156 patients were analyzed. Within the initial 3 days following surgery, the ERAS cohort demonstrated lower pain intensity and exhibited higher daily oral intake compared to their counterparts in the control group. A mere 14.1% of patients in the ERAS group experienced a peak body temperature exceeding 38.5°, illustrating a significantly lower incidence compared to the 33.3% recorded in the control group. The ERAS cohort displayed expedited timeframes for the onset of initial bowel function and postoperative discharge when contrasted with the control group. Levels of IL-6 assessed on the third day post-surgery were markedly reduced in the ERAS group in comparison to the control group. Noteworthy is the similarity observed in postoperative hemoglobin and albumin levels measured on the first and third postoperative days between the two groups. Assessments of quality of life using SF-36 and SRS-22r questionnaires revealed comparable scores across all domains in the ERAS group when juxtaposed with the control cohort. ERAS protocol has demonstrated a capacity to bolster early perioperative recovery, alleviate postoperative stress responses, and uphold favorable quality of life outcomes in children undergoing corrective surgery for congenital scoliosis.
