Enhanced recovery after spine surgery

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Abstract

Enhanced recovery after surgery (ERAS) protocols are actively evolving in modern surgical practice. The primary goal of ERAS is to standardize perioperative care and improve rehabilitation potential. ERAS effectiveness has been demonstrated across various surgical fields. Historically, spine surgery was considered challenging for ERAS implementation. However, over the past decade, this perception has changed significantly, and ERAS protocols have become widely used in spine surgery. Initially, the use of ERAS in spine surgery was limited to lumbar spine procedures. Over time, however, ERAS began to be actively implemented in cervical spine surgery, neuro-oncology, and spine surgery in older and comorbid patients. Studies have shown that ERAS reduces length of hospital stay, treatment costs, perioperative opioid use, and complication rates. This review highlights the key features of ERAS in spine surgery.

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About the authors

Sergey V. Krylov

Priorov National Medical Research Centre for Traumatology and Orthopaedics; Central State Medical Academy of the Administration of the President of the Russian Federation

Author for correspondence.
Email: doc087@inbox.ru
ORCID iD: 0000-0001-7755-7163
SPIN-code: 4067-1787

MD, Cand. Sci. (Medicine)

Russian Federation, 10 Priorova st, Moscow, 127299; Moscow

Igor N. Pasechnik

Central State Medical Academy of the Administration of the President of the Russian Federation

Email: pasigor@yandex.ru
ORCID iD: 0000-0002-8121-4160
SPIN-code: 4433-1418

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Sergey S. Guzhev

Priorov National Medical Research Centre for Traumatology and Orthopaedics; Central State Medical Academy of the Administration of the President of the Russian Federation

Email: feldscher03@mail.ru
ORCID iD: 0009-0009-2515-4923

MD

Russian Federation, 10 Priorova st, Moscow, 127299; Moscow

Iulia A. Udovenko

Priorov National Medical Research Centre for Traumatology and Orthopaedics

Email: yuliya_udovenko@icloud.com
ORCID iD: 0009-0001-2013-2727

MD

Russian Federation, 10 Priorova st, Moscow, 127299

Pavel M. Kiriukhin

Priorov National Medical Research Centre for Traumatology and Orthopaedics

Email: troy-kp@bk.ru
ORCID iD: 0009-0003-8923-3862

MD

Russian Federation, 10 Priorova st, Moscow, 127299

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