N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector63400310.17816/vto634003NSMUTPReviewsОбзорыReview ArticleEnhanced recovery after spine surgeryПрограмма ускоренного восстановления в хирургии позвоночникаhttps://orcid.org/0000-0001-7755-71634067-1787KrylovSergey V.КрыловСергей Валерьевич
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

doc087@inbox.ruhttps://orcid.org/0000-0002-8121-41604433-1418PasechnikIgor N.ПасечникИгорь Николаевич
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

pasigor@yandex.ruhttps://orcid.org/0009-0009-2515-4923GuzhevSergey S.ГужевСергей Сергеевич
Russian Federation

MD

feldscher03@mail.ruhttps://orcid.org/0009-0001-2013-2727UdovenkoIulia A.УдовенкоЮлия Александровна
Russian Federation

MD

yuliya_udovenko@icloud.comhttps://orcid.org/0009-0003-8923-3862KiriukhinPavel M.КирюхинПавел Михайлович
Russian Federation

MD

troy-kp@bk.ruPriorov National Medical Research Centre for Traumatology and OrthopaedicsНациональный медицинский исследовательский центр травматологии и ортопедии им. Н.Н. ПриороваCentral State Medical Academy of the Administration of the President of the Russian FederationЦентральная государственная медицинская академия Управления делами Президента Российской Федерации12062025220720253225215270207202425072024Copyright ©; 2025, Eco-VectorCopyright ©; 2025, Эко-Вектор2025Eco-VectorЭко-Векторhttps://eco-vector.com/for_authors.php#07https://journals.eco-vector.com/0869-8678/article/view/634003

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.

Программа ускоренного восстановления (ПУВ) после операции активно развивается в современной хирургической практике. Основной целью ПУВ являются стандартизация ведения пациента в периоперационном периоде и улучшение реабилитационного потенциала. Эффективность ПУВ установлена в различных областях хирургии. Считалось, что хирургия позвоночника является сложной с точки зрения применения ПУВ. Однако за последнее десятилетие ситуация кардинально изменилась: протоколы ускоренного восстановления стали широко внедряться в хирургию позвоночника. Первоначально использование ускоренного восстановления в хирургии позвоночника ограничивалось операциями на его поясничном отделе. Спустя некоторое время ПУВ стала активно применяться в хирургии шейного отдела позвоночника, нейроонкологии, хирургии позвоночника у пожилых и коморбидных пациентов. Было продемонстрировано, что ПУВ сокращает продолжительность пребывания пациентов в стационаре, затраты на лечение, назначение опиоидных анальгетиков в периоперационном периоде, а также снижает частоту развития осложнений. В данной обзорной статье мы решили осветить особенности ПУВ в хирургии позвоночника.

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