Enhanced recovery after surgery (ERAS)—Concepts, components, and application to spine surgery

Publication date: June 2018

Source: Seminars in Spine Surgery, Volume 30, Issue 2

Author(s): Thomas W. Wainwright, Michael Y. Wang, Tikki Immins, Robert G. Middleton

Abstract

This article describes the concept of Enhanced Recovery after Surgery (ERAS) and its application to spine surgery. ERAS is a multimodal approach designed to reduce the surgical stress response and accelerate recovery following surgery. It is a multi-disciplinary, patient-centred approach that employs an evidenced-based pathway of standardised care. It has been proven across a range of surgical pathways but has yet to be defined and adopted in spine surgery. ERAS pathways are needed in spine surgery. Patient recovery is often long, painful, expensive, and a highly variable experience. Consequently, ERAS programs will find great utility in this subspecialty.

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