Seminars in Spine Surgery最新文献

英文中文

Contributors to authors 作者贡献者

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-08-13 DOI: 10.1053/S1040-7383(25)00051-6

引用次数: 0

Emerging technologies enhancing ERAS in spine surgery 新兴技术增强脊柱外科ERAS

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-14 DOI: 10.1016/j.semss.2025.101190

Anirudh K. Gowd, Andrew S. Moon, Romil F. Shah, Terrence T. Kim

Enhanced Recovery After Surgery (ERAS) protocols in spine surgery have transformed perioperative care by minimizing surgical stress and accelerating patient recovery. Despite advancements through minimally invasive techniques and multimodal analgesia, challenges such as variable adherence and limited personalization persist. Emerging technologies offer promising solutions to optimize ERAS outcomes. Artificial intelligence (AI) and machine learning are being used to predict complications, personalize recovery protocols, and support clinical decision-making with real-time data analysis. Wearable biosensors and accelerometers enable continuous, wireless monitoring of vital signs and physical activity, facilitating early detection of complications and promoting patient mobility. Remote patient monitoring platforms extend ERAS principles into the home setting, allowing real-time tracking of recovery metrics, early intervention for complications, and enhanced patient engagement through mobile applications. Furthermore, precision medicine approaches—such as pharmacogenomics-guided pain management, individualized rehabilitation strategies, and patient-specific surgical optimization—aim to tailor care based on genetic, functional, and anatomical factors. Although these innovations align with ERAS goals of faster, safer recovery, widespread implementation faces hurdles, including the need for robust clinical validation, clinician and patient education, and demonstration of cost-effectiveness. Nevertheless, early evidence indicates that technology-enhanced ERAS pathways could substantially improve patient-centric outcomes and redefine standards of postoperative spine care. As research progresses and adoption grows, integrating AI, wearables, telehealth, and personalized medicine into ERAS protocols may usher in a new era of smarter, precision-guided recovery for spine surgery patients.

增强手术后恢复（ERAS）协议在脊柱外科通过减少手术压力和加速患者恢复改变围手术期护理。尽管通过微创技术和多模态镇痛取得了进步，但诸如可变依从性和有限的个性化等挑战仍然存在。新兴技术为优化ERAS结果提供了有前景的解决方案。人工智能（AI）和机器学习正被用于预测并发症、个性化康复方案，并通过实时数据分析支持临床决策。可穿戴生物传感器和加速度计可以实现对生命体征和身体活动的连续无线监测，有助于早期发现并发症并促进患者的活动能力。远程患者监测平台将ERAS原则扩展到家庭环境，允许实时跟踪恢复指标，早期干预并发症，并通过移动应用程序增强患者参与度。此外，精准医学方法——如药物基因组学指导的疼痛管理、个性化康复策略和患者特异性手术优化——旨在根据遗传、功能和解剖因素量身定制护理。尽管这些创新符合ERAS更快、更安全康复的目标，但广泛实施面临着障碍，包括需要强有力的临床验证、临床医生和患者教育，以及成本效益的证明。然而，早期证据表明，技术增强的ERAS通路可以显著改善以患者为中心的结果，并重新定义术后脊柱护理的标准。随着研究的进展和应用的增长，将人工智能、可穿戴设备、远程医疗和个性化医疗整合到ERAS协议中，可能会为脊柱手术患者带来更智能、更精确指导的康复新时代。

{"title":"Emerging technologies enhancing ERAS in spine surgery","authors":"Anirudh K. Gowd, Andrew S. Moon, Romil F. Shah, Terrence T. Kim","doi":"10.1016/j.semss.2025.101190","DOIUrl":"10.1016/j.semss.2025.101190","url":null,"abstract":"<div><div>Enhanced Recovery After Surgery (ERAS) protocols in spine surgery have transformed perioperative care by minimizing surgical stress and accelerating patient recovery. Despite advancements through minimally invasive techniques and multimodal analgesia, challenges such as variable adherence and limited personalization persist. Emerging technologies offer promising solutions to optimize ERAS outcomes. Artificial intelligence (AI) and machine learning are being used to predict complications, personalize recovery protocols, and support clinical decision-making with real-time data analysis. Wearable biosensors and accelerometers enable continuous, wireless monitoring of vital signs and physical activity, facilitating early detection of complications and promoting patient mobility. Remote patient monitoring platforms extend ERAS principles into the home setting, allowing real-time tracking of recovery metrics, early intervention for complications, and enhanced patient engagement through mobile applications. Furthermore, precision medicine approaches—such as pharmacogenomics-guided pain management, individualized rehabilitation strategies, and patient-specific surgical optimization—aim to tailor care based on genetic, functional, and anatomical factors. Although these innovations align with ERAS goals of faster, safer recovery, widespread implementation faces hurdles, including the need for robust clinical validation, clinician and patient education, and demonstration of cost-effectiveness. Nevertheless, early evidence indicates that technology-enhanced ERAS pathways could substantially improve patient-centric outcomes and redefine standards of postoperative spine care. As research progresses and adoption grows, integrating AI, wearables, telehealth, and personalized medicine into ERAS protocols may usher in a new era of smarter, precision-guided recovery for spine surgery patients.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101190"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative anesthesia and care pathways in ERAS for spine surgery 脊柱外科ERAS术后麻醉与护理路径

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-11 DOI: 10.1016/j.semss.2025.101187

Ernest E. Braxton Jr.

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.

微创手术技术和门诊手术的趋势强调了有效的术后镇痛计划的必要性，特别是在阿片类药物成瘾率上升的情况下。本文回顾了多模式疼痛管理的使用，重点是减少阿片类药物的使用，在门诊脊柱手术中使用直立脊柱阻滞（ESB）阻滞和动态输注导管用于术后镇痛，早期活动方案和认知干预，以及术后营养管理。本综述将讨论术后管理，强调考虑手术方式、患者疼痛史、感染风险和抗凝状态的个性化疼痛管理计划的重要性。文章强调需要进一步研究脊柱外科手术后增强恢复（ERAS）技术，并强调多学科会诊以获得最佳患者结果。

引用次数: 0

ERAS protocols: Impact on outcomes in spine surgery ERAS方案：对脊柱手术结果的影响

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-11 DOI: 10.1016/j.semss.2025.101188

Mehul Mittal , Nicholas D’ambrose , Rishi Jain , Bibek Samal , Sepehr Khavari , Dillan Prasad , Sharbel Romanos , Alok Sharan

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach primarily aimed to improve postoperative patient outcomes and satisfaction. Over the past decade, new ERAS protocols for spine surgery have emerged in efforts to reduce opioid persistence, chronic pain, and high costs that are specific to the encompassed procedures. Despite promising results, ERAS protocols face many barriers to standardized usage globally and limited efforts to improve their application. In this narrative review, the components and benefits of spine surgery ERAS protocols, their barriers to implementation, and the strategies needed to overcome these barriers in the realm of spine surgery are discussed.

增强术后恢复（ERAS）是一种多学科的方法，主要目的是改善术后患者的预后和满意度。在过去的十年中，为了减少阿片类药物的持久性、慢性疼痛和所包含手术的高成本，出现了新的脊柱外科ERAS方案。尽管取得了可喜的成果，但ERAS协议在全球标准化使用方面面临许多障碍，并且改进其应用的努力有限。在这篇叙述性综述中，讨论了脊柱外科ERAS协议的组成部分和益处，实施的障碍，以及克服脊柱外科领域这些障碍所需的策略。

引用次数: 0

Intraoperative strategies to enhance recovery in spine surgery 术中策略提高脊柱手术的恢复

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-11 DOI: 10.1016/j.semss.2025.101186

Shriya N. Patel, Sloane O. Ward, Mattin Moazzam, Arash J. Sayari, Kern Singh

The field of spine surgery is constantly evolving along with recovery strategies for patients. The ability to maximize patient postoperative recovery through intraoperative strategies is becoming increasingly relevant. Implementing intraoperative strategies in surgery optimizes patient recovery and ultimately leads to significant benefits postoperatively. Crucial intraoperative enhanced recovery strategies consist of but are not limited to, minimally invasive surgical techniques, blood conservation strategies, optimization of patient positioning, and neuromonitoring. This article aims to inform physicians of the most effective enhanced intraoperative recovery strategies to maximize their success in spine surgery.

脊柱外科领域随着患者康复策略的不断发展而不断发展。通过术中策略最大化患者术后恢复的能力正变得越来越重要。在手术中实施术中策略可以优化患者的恢复，并最终导致术后显著获益。关键的术中增强恢复策略包括但不限于微创手术技术、血液保护策略、优化患者体位和神经监测。这篇文章的目的是告知医生最有效的增强术中恢复策略，以最大限度地提高他们在脊柱手术中的成功。

引用次数: 0

Anesthesia and pain management in ERAS for spine surgery 脊柱外科ERAS的麻醉与疼痛管理

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-11 DOI: 10.1016/j.semss.2025.101185

Carol Girgiss , Modupe Oladele , M. Alice Vijjeswarapu

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based approach that has demonstrated significant benefits in spinal surgery, including reduced complications, shorter hospital stays, and improved patient satisfaction. Originally developed for colorectal and cardiothoracic procedures, ERAS protocols are increasingly applied to spine surgery, emphasizing preoperative optimization, multimodal analgesia, regional anesthesia, and intraoperative strategies such as minimally invasive techniques, blood conservation, and neuromonitoring. Postoperatively, early mobilization, nutritional support, and opioid-sparing pain management are critical to enhancing recovery. Successful ERAS implementation depends on multidisciplinary collaboration, standardized pathways, and ongoing quality improvement to overcome logistical barriers. Future directions include tailoring protocols for high-risk populations and leveraging patient-reported outcomes to refine care. As ERAS continues to evolve, it holds the potential to continue to transform perioperative spine care by integrating technology, evidence-based practices, and individualized patient management strategies.

术后增强恢复（ERAS）是一种多学科、基于证据的方法，在脊柱手术中具有显著的益处，包括减少并发症、缩短住院时间和提高患者满意度。ERAS最初是为结肠直肠癌和心胸外科手术开发的，现在越来越多地应用于脊柱外科手术，强调术前优化、多模式镇痛、区域麻醉和术中策略，如微创技术、血液保护和神经监测。术后早期活动、营养支持和不使用阿片类药物的疼痛管理对促进恢复至关重要。ERAS的成功实施取决于多学科合作、标准化途径和持续的质量改进，以克服后勤障碍。未来的方向包括为高危人群量身定制方案，并利用患者报告的结果来改进护理。随着ERAS的不断发展，它具有通过整合技术、循证实践和个性化患者管理策略继续改变围手术期脊柱护理的潜力。

{"title":"Anesthesia and pain management in ERAS for spine surgery","authors":"Carol Girgiss , Modupe Oladele , M. Alice Vijjeswarapu","doi":"10.1016/j.semss.2025.101185","DOIUrl":"10.1016/j.semss.2025.101185","url":null,"abstract":"<div><div>Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based approach that has demonstrated significant benefits in spinal surgery, including reduced complications, shorter hospital stays, and improved patient satisfaction. Originally developed for colorectal and cardiothoracic procedures, ERAS protocols are increasingly applied to spine surgery, emphasizing preoperative optimization, multimodal analgesia, regional anesthesia, and intraoperative strategies such as minimally invasive techniques, blood conservation, and neuromonitoring. Postoperatively, early mobilization, nutritional support, and opioid-sparing pain management are critical to enhancing recovery. Successful ERAS implementation depends on multidisciplinary collaboration, standardized pathways, and ongoing quality improvement to overcome logistical barriers. Future directions include tailoring protocols for high-risk populations and leveraging patient-reported outcomes to refine care. As ERAS continues to evolve, it holds the potential to continue to transform perioperative spine care by integrating technology, evidence-based practices, and individualized patient management strategies.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101185"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction to ERAS in spine surgery: current concepts and goals 脊柱外科ERAS简介：当前的概念和目标

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-11 DOI: 10.1016/j.semss.2025.101183

G․Damian Brusko, Michael Y. Wang

There exists a growing body of evidence to support the efficacy of Enhanced Recovery After Surgery (ERAS) for treatment across the breadth of spinal pathologies. Future multi-institutional and international collaborations and randomized controlled trials are necessary to further strengthen the role of ERAS in spine surgery. However, given the early successes of the novel ERAS programs and continued iterative process improvements, spine surgeons should consider implementation of enhanced recovery principles into their own practice.

有越来越多的证据支持手术后增强恢复（ERAS）治疗各种脊柱病变的疗效。未来需要多机构和国际合作以及随机对照试验来进一步加强ERAS在脊柱外科中的作用。然而，鉴于新型ERAS项目的早期成功和持续迭代的过程改进，脊柱外科医生应该考虑在他们自己的实践中实施增强恢复原则。

引用次数: 0

Preoperative optimization and patient preparations for spine surgery: A narrative review of ERAS protocols 脊柱手术的术前优化和患者准备：ERAS协议的叙述性回顾

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-11 DOI: 10.1016/j.semss.2025.101184

Brian H. Cho , Matthew S. Miyasaka , Skanda Sai , Samuel K. Cho

Preoperative optimization and patient preparation is a cornerstone of many Enhanced Recovery After Surgery (ERAS) protocols. The incorporation of preoperative care elements before spine surgery has been associated with shorter length of stays and greater patient recovery. Since many protocols have been proposed, it is important to describe preoperative interventions that are both effective and accessible, as well as to identify areas for further study. This review summarizes the current literature on different preoperative strategies to improve patient outcomes after spine surgery.

术前优化和患者准备是许多增强术后恢复（ERAS）协议的基石。脊柱手术前的术前护理元素的结合与更短的住院时间和更大的患者康复有关。由于已经提出了许多方案，因此重要的是描述术前干预措施既有效又容易获得，并确定进一步研究的领域。这篇综述总结了目前关于不同术前策略以改善脊柱手术后患者预后的文献。

引用次数: 0

Case studies in ERAS implementation: lessons learned ERAS实施的案例研究：经验教训

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-07-11 DOI: 10.1016/j.semss.2025.101189

Jonathon Cavaleri , Hannah Licari , Eugenia Ayrian , John Liu , Patrick Hsieh , Raymond Hah , Jeffrey Wang

Enhanced Recovery After Surgery (ERAS) protocols seek to improve outcomes in spine surgery and are becoming more widely adopted. Our own institution now has considerable experience with ERAS over the past decade. We present two of our own cases that highlight some of the differences in our approach to perioperative care in complex spine surgery before and after implementation of an ERAS protocol. We have learned valuable lessons over this time, and we share our experience in this manuscript.

增强术后恢复（ERAS）协议旨在改善脊柱手术的结果，并得到越来越广泛的采用。在过去的十年里，我们自己的机构在ERAS方面有相当多的经验。我们提出了我们自己的两个案例，突出了我们在实施ERAS协议前后复杂脊柱手术围手术期护理方法的一些差异。在这段时间里，我们吸取了宝贵的教训，我们在这份手稿中分享了我们的经验。

引用次数: 0

Contributors to authors 作者贡献者

Q4 Medicine

Seminars in Spine Surgery

Pub Date : 2025-06-01 DOI: 10.1053/S1040-7383(25)00040-1

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Seminars in Spine Surgery

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀