Introduction

Recent years have been characterized by a great technological and clinical development in spine surgery. In particular, enhanced recovery after surgery (ERAS) programs, started to gain interest also in this surgical field. Here we tried to analyse the current state of art of ERAS technique in spine surgery.

Material and method

A systematic review of the literature has been performed in order to find all the possible inclusions. Using the PRISMA guidelines, a search of the PubMed/Medline, Web of Science, Cochrane Reviews, Embase, Medline databases was conducted to identify all full-text articles in the English-language literature describing the use of ERAS programs or techniques for spine surgery in adult patients.

Results

Out of the 827 studies found, only 21 met the inclusion criteria has been retained to be included in the present study. The most frequently benefits of ERAS protocols were shorter hospitalisations (n = 15), and decreased complication rates (n = 8) lower postoperative pain scores (n = 4). These benefits were seen in the 3 main categories considered: lumbar spine surgeries, surgeries for correction of scoliosis or deformity, and surgeries of the cervical spine.

Conclusion

There are an arising amount of data showing that the use of ERAS programs could be helpful in reducing the days of hospitalizations and the number of complications for certain spinal procedures and in a highly selected group of patients. Despite the large interest on the topic; there is an important lack of high level of scientific evidences. Because of that, there is the need to encourage the design and creation of new randomized clinical trials that will validate the present findings.

中文翻译：

---

脊柱外科手术后增强康复 (ERAS) 的益处现状：文献系统回顾

介绍

近年来，脊柱外科的技术和临床取得了巨大的发展。特别是，加速康复外科 (ERAS) 计划也开始对这一外科领域产生兴趣。在这里，我们试图分析脊柱手术中 ERAS 技术的当前状态。

材料和方法

为了找到所有可能的内含物，已经对文献进行了系统回顾。使用 PRISMA 指南，对 PubMed/Medline、Web of Science、Cochrane Reviews、Embase、Medline 数据库进行搜索，以识别描述 ERAS 程序或技术用于脊柱手术的英文文献中的所有全文文章在成年患者中。

结果

在发现的 827 项研究中，只有 21 项符合纳入标准被保留纳入本研究。ERAS 方案最常见的好处是住院时间更短 ( n  =  15)，并发症发生率降低 ( n  =  8)，术后疼痛评分降低 ( n  =  4)。这些益处体现在所考虑的 3 个主要类别中：腰椎手术、脊柱侧弯或畸形矫正手术以及颈椎手术。

结论

越来越多的数据表明，ERAS 计划的使用有助于减少某些脊柱手术的住院天数和并发症的数量，并在经过严格筛选的患者群体中有所帮助。尽管对这个话题有很大的兴趣；严重缺乏高水平的科学证据。因此，有必要鼓励设计和创建新的随机临床试验，以验证当前的发现。