Enhanced Recovery After Spine Surgery

Hospital for Special Surgery (HSS)

Status

Completed

Conditions

Spine Surgery

Enhanced Recovery After Surgery

Treatments

Other: Enhanced Recovery Pathway (ERP) for Spine

Study type

Interventional

Funder types

Other

Identifiers

NCT02949518

2016-617

Details and patient eligibility

About

Enhanced recovery pathways (ERP) after surgery have been shown to decrease length of stay and perioperative complications in a range of surgical specialties. To date, ERPs has not been studied in patients presenting for spine surgery. The investigators have recently developed an interdisciplinary pathway for spine surgery patients based on the latest available evidence and guidelines. The aim of this trial is to compare the investigators enhanced recovery pathway with conventional perioperative management in patients undergoing 1-2 level posterior lumbar fusion.

Enrollment

56 patients

Sex

All

Ages

21+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Any patient presenting for 1 or 2 level posterior lumbar fusion.

Exclusion criteria

Cognitive impairment (baseline dementia, cognitive dysfunction or inability to consent to participate).
Kidney disease: GFR <60 mL/min/1.73 m2 for 3 months or more, irrespective of cause (Levey et al., 2012).
Liver disease: transaminitis, cirrhosis, hepatitis, hypoalbuminemia, coagulopathy.
Pre-existing bowel disease (inflammatory bowel disease, colectomy/ colostomy/diverticular disease).
Allergy/intolerance/contraindication to any medication or component included in the ERAS pathway protocol.
Patients whose primary or preferred language is not English.