Enhanced Recovery After Surgery Protocols and Spinal Deformity

Omar Sorour; Mohamed Macki; Lee Tan

doi:10.1016/j.nec.2023.05.003

Enhanced Recovery After Surgery Protocols and Spinal Deformity

Neurosurg Clin N Am. 2023 Oct;34(4):677-687. doi: 10.1016/j.nec.2023.05.003. Epub 2023 Jul 16.

Authors

Omar Sorour¹, Mohamed Macki¹, Lee Tan²

Affiliations

¹ Department of Neurosurgery, University of California, San Francisco, 505 Parnassus Avenue - Office M779, San Francisco, CA 94143, USA.
² Department of Neurosurgery, University of California, San Francisco, 505 Parnassus Avenue - Office M779, San Francisco, CA 94143, USA. Electronic address: Lee.Tan@ucsf.edu.

PMID: 37718114
DOI: 10.1016/j.nec.2023.05.003

Abstract

The authors outline a review of preoperative, intraoperative, and postoperative considerations surrounding adult spinal deformity. Preoperative management topics include imaging, hemoglobin A1c levels before spine surgery, osteoporotic management, and prehabilitation. Topics surrounding intraoperative management include the use of antibiotics, liposomal bupivacaine, and Foley catheters. The authors also discuss postoperative questions surrounding analgesia, nausea and vomiting, thromboembolic prophylaxis, and early mobilization. Throughout their discussion, the authors incorporate enhanced recovery after surgery protocols to hopefully lead to future discussions regarding optimizing complex spinal patients.

Keywords: ERAS; Enhanced recovery after surgery; Flatback syndrome; Scoliosis; Spinal deformity.

Publication types

Review

MeSH terms

Adult
Enhanced Recovery After Surgery*
Humans
Pain Management
Postoperative Period