Why the study?
What is the quality of evidence for individual components of enhanced recovery after spinal surgery (ERSS)?
What is the quality of evidence for individual components of enhanced recovery after spinal surgery (ERSS)?
This systematic review provides the first formalized evidence-based unified protocol for Enhanced Recovery After Spinal Surgery (ERSS).
Supports ERSS implementation per evidence grades; extends literature as first unified protocol.
We identified the following components with high quality of evidence as per GRADE system: pre-emptive analgesia, peri-operative blood conservation (antifibrinolytic use), surgical site preparation and antibiotic prophylaxis. There was moderate level of evidence for implementation of prehabilitation, minimally invasive surgery, multimodal perioperative analgesia, intravenous lignocaine and ketamine use as well as early mobilization. This review allows for the first formalized evidence-based unified protocol in the field of ERSS. Further studies validating the multimodal ERSS framework are essential to guide the future evolution of care in patients undergoing spinal surgery.
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Licina et al. (2021) studied this question.
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