Abstract
Enhanced recovery after surgery (ERAS) is a multimodal, evidence-based approach that aims to modulate the surgical stress response to accelerate post-operative recovery and reduce morbidity
Highlights
Enhanced recovery after surgery (ERAS) is a multimodal, evidence-based approach that aims to modulate the surgical stress response to accelerate post-operative recovery and reduce morbidity
The Enhanced recover after surgery (ERAS) pathway would be applicable to future lumbar spine surgery patients due to its ability to identify factors that could lead to increased length of stay (LOS), estimated blood loss, and eventful hospital courses
Due to the complexities of lumbar spine surgery, there are some limitations to its application
Summary
Enhanced recovery after surgery (ERAS) is a multimodal, evidence-based approach that aims to modulate the surgical stress response to accelerate post-operative recovery and reduce morbidity. There is limited research that pertains to the use of the ERAS pathway in lumbar surgical patients. Due to the lack of data, a retrospective study was conducted to identify whether there are differences in complications between single-level and multi-level lumbar spine surgery (LSS) patients as well as for patients that had a drain placed versus those patients that had not. Reviewing our data and outcomes, while incorporating a comprehensive number of evidence-based clinical studies, we propose the implementation of an ERAS pathway for all levels of LSS. ERAS pathways should minimize complications, reduce the length of stay, and improve the outcomes for lumbar spine surgery patients
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