Key result
Multimodal pain management and ERAS pathways in spine surgery emphasize reducing opioid use through regional anesthesia, early mobilization, and individualized care plans.
Why the study?
The trend toward minimally invasive and outpatient spine procedures, alongside rising opioid addiction rates, emphasized the need for effective postoperative analgesic plans.
Implementing ERAS pathways with multimodal analgesia in spine surgery is crucial for optimizing recovery and minimizing opioid dependence.
May support multimodal ERAS to reduce opioids in spine surgery; leaves open prospective RCTs for confirmation.
The trend toward minimally invasive surgical techniques and outpatient procedures has emphasized the need for effective postoperative analgesic plans, particularly amid rising opioid addiction rates. This article reviews the use of multimodal pain management with a focus on reducing opioid use, erector spinae blocks (ESB) blocks with ambulatory infusion catheters for postoperative analgesia in outpatient spine surgery, early mobilization protocols and cognitive intervention, and management of post-operative nutrition. This review will address postoperative management, stressing the importance of individualized pain management plans considering surgical approach, patient pain history, infection risk, and anticoagulation status. The article highlights the need for further research in Enhanced Recovery After Surgery (ERAS) techniques specific to spine surgery and emphasizes multidisciplinary consultation for optimal patient outcomes.
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Ernest E. Braxton (2025) conducted a review in spine surgery. Enhanced Recovery After Surgery (ERAS) techniques and multimodal pain management was evaluated. Multimodal pain management and ERAS pathways in spine surgery emphasize reducing opioid use through regional anesthesia, early mobilization, and individualized care plans.
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