Michael Scott, MB ChB, FRCP, FRCA, FFICM
Michael Scott, MB ChB, FRCP, FRCA, FFICM
ERAS USA President
 
Michael Wang, MD
ERAS USA-Spine President
ERAS Spine Related Meetings Journal Library Contact Us Spotlights

ERAS Spine

Background and Mission

Symptomatic spinal pathology affects over 260 million individuals worldwide and has an enormous negative impact on health-related quality of life (HRQOL) measures, rivaling chronic diseases such as heart disease, stroke, and renal failure. Surgical intervention is indicated to prevent or mitigate neurologic decline and for pain relief, and usually entails decompression of the neural elements, instrumented stabilization, arthrodesis, or combinations of these. Spine surgeries can range from minimally invasive procedures to large, complex deformity corrections which require days of inpatient hospital admission. Despite advances in minimally invasive techniques and perioperative management, the stigma of spine surgery across a large swath of the population still exists.

ERAS for spine surgery employs multidisciplinary strategies are employed that have demonstrated cost savings risk, minimize postoperative complications, complications, and at the preoperative stage, this begins with patient counseling, expectation setting, prehabilitation, and medical optimization. The day of surgery heavily involves anesthesia considerations, such as premedication regimens to reduce postoperative pain, minimization of fluid shifts, blood loss resuscitation, and ability to avoid general endotracheal intubation. Postoperatively, focus is on pain-control, early ambulation, and minimization of opioids.


Spotlight
ERAS USA-Spine
Spotlight of the Month
John O'Toole, MD
John O'Toole, MD
Professor
Dept. of Neurosurgery
Rush University Medical Center
Chicago, IL
Full Spotlight

Save the Date
ERAS USA 4th Annual Congress
ERAS USA 4th Annual Congress
November 10-21, 2021
The Roosevelt New Orleans Waldorf Astoria Hotel
New Orleans, Louisiana


Current News

10-15-2021 Join us for the Spine Section session of the ERAS USA Annual Meeting in New Orleans on Thursday November 11th from 8-10am
Join us for the Spine Section session of the ERAS USA Annual Meeting in New Orleans on Thursday November 11th from 8-10am. Groundbreaking talks to be delivered by Ajit Krishnaney, MD (Cleveland Clinic), Zarina Ali, MD (Penn), Ori Barzilai, MD (Memorial Sloan Kettering Cancer Center), and Ibrahim Hussain (Weill Cornell Brain and Spine Center) in addition to others. Don't miss it!
view program
 
09-15-2020 Canadian Surgeons
Canadian Surgeons
Canadian surgeons develop and validate the Calgary Postoperative Pain After Spine Surgery (CAPPS) score - a predictive tool for poor postoperative pain control following elective spine surgery
read article
 
05-01-2021 Figure 1
Enhanced Recovery After Surgery (ERASŪ) Society publishes consensus statement for preioerative care in lumbar spinal fusion
read article
 
  QR Code to CAPPS Score QR Code

This score helps predict which patients will develop poorly control pain after spinal surgery: https://calgaryspine.ca/research/capps
Calgary University Spine Program
 
08-01-2020 Penn group
Penn group publishes results from implementation of ERAS protocol to decrease opioid use after spine surgery
read article
 
11-20-2020 Pair of systematic reviews by Hopkins neurosurgeons finds ERAS protocols shortens hospital admissions in adult and pediatric spine surgeries
Source
Pair of systematic reviews by Hopkins neurosurgeons finds ERAS protocols shortens hospital admissions in adult and pediatric spine surgeries
Source: J Neurosurg Pediatr. 2020 Nov 20;1-14.;
J Neurosurg Spine. 2020 Nov 6;1-23.
Johns-Hopkins
 
08-01-2020 Pacira BioSciences, Inc. Receives Marketing Authorization by European Commission for EXPAREL treatment of peripheral nerve pain
read article
Pacira BioSciences, Inc
 
10-21-2020 Bangkok International Hospital Launches ERAS program for minimally-invasive spine surgery
read article
Bangkok International Hospital
 
09-07-2020 Duke University physicians find ERAS pathway reduces opioid use, bowel/bladder dysfunction, and 90-day readmission in adult spinal deformity surgery
read article
Duke University