BACKGROUND Enhanced Recovery After Surgery (ERAS) is the object of numerous publications in various surgical fields. Still, its value in spine surgery is not as recognized as it is in other surgical domains. Our aim was to report neurosurgeons' opinions about ERAS in spine surgery. METHODS From December 2019 to January 2020, members of the European Association of Neurosurgical Societies were asked to complete an online questionnaire regarding ERAS in spine surgery. RESULTS N = 234 participants responded to the survey (60% spine neurosurgeons; 22.6% working in private practice). Thirty-two percent reported to have more than 20 years of experience, followed by surgeons having between 5 and 10 (27.4%), 10-15 (17.9%), 15-20 (12%), and 0-5 years (10.7%). Gender distribution (12% vs 27% female gender, p = 0.04), private practice activity (28% vs 14%, p = 0.01), familiarity with the ERAS concept (57.4% vs 27%, p < 0.0001), and its implementation in the daily clinical practice (47.5% vs 18.3%, p < 0.0001) were statistically different between spine and general neurosurgeons. 54.7% of the surgeons were unfamiliar with ERAS in spine surgery. 63.7% considered ERAS as a progress; 36% declared to implement ERAS in their daily clinical practice. 1.7% reported ERAS as a decrease in the quality of management. 6.8% considered ERAS as not having an impact on patient care; 27.8% had no opinion. There were no differences in opinion on ERAS and its implementation between surgeons working in private and public hospitals. 69.5% of the spine surgeons considered ERAS having a positive impact on patient management, versus 55% of non-spine surgeons (p = 0.02). CONCLUSIONS Efforts are necessary to promote minimal invasive pre-, intra-, and postoperative workflow to improve patient management and reduce complications or side effects particularly adapted to spinal surgery. Specificities of spine patients, in terms of chronic pain, pre- and postoperative pain management, and psychological issues have to be considered.

中文翻译：

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脊柱外科手术后的恢复得到增强-一项多国调查，评估了外科医生的观点。

背景技术增强的术后恢复（ERAS）是各个外科领域中许多出版物的目的。尽管如此，它在脊柱外科手术中的价值并未像在其他外科领域那样得到公认。我们的目的是报告神经外科医生对脊柱外科手术中ERAS的看法。方法从2019年12月至2020年1月，欧洲神经外科学会协会成员被要求填写有关脊柱外科手术ERAS的在线问卷。结果N = 234位参与者回应了调查（60％的脊柱神经外科医师； 22.6％的私人执业医师）。据报告，有32％的人拥有超过20年的经验，其次是具有5至10（27.4％），10-15（17.9％），15-20（12％）和0-5年（10.7）的外科医生。 ％）。性别分布（女性占12％，女性占27％，p = 0.04），私人执业活动（28％vs 14％，p = 0.01），熟悉ERAS概念（57.4％vs 27％，p <0.0001）及其在日常临床实践中的实施（47.5％vs 18.3％，p <0.0001） ）在脊柱和普通神经外科医生之间有统计学差异。54.7％的外科医生不熟悉脊柱外科手术中的ERAS。63.7％的人认为ERAS是一项进步；36％的人宣布在其日常临床实践中实施ERAS。1.7％的受访者认为ERAS导致管理质量下降。6.8％的人认为ERAS对患者的护理没有影响；27.8％没有意见。在私营和公立医院工作的外科医生之间，对ERAS及其实施的看法没有差异。69.5％的脊柱外科医生认为ERAS对患者管理产生积极影响，而非脊柱外科医生则有55％（p = 0.02）。结论必须努力促进微创术前，术中和术后工作流程，以改善患者管理并减少并发症或副作用，尤其是脊柱手术。在慢性疼痛，术前和术后疼痛管理以及心理问题方面，必须考虑脊柱患者的特异性。