{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T12:37:33Z","timestamp":1773232653192,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,9,4]],"date-time":"2022-09-04T00:00:00Z","timestamp":1662249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Current spine postoperative pain control protocols consider the expected pain following spine fusion surgery to correlate with surgical extent, that is, the greater the number of operated vertebrae, the greater the postoperative pain. Due to this assumption, Enhanced Recovery After Surgery (ERAS) protocols are principally applied to minimally invasive and percutaneous spine surgery and less to open extensive spine fusion operations. The aim of this study was to determine whether postoperative pain does in fact correlate with the surgical extent, potentially opening the door to non\u2010narcotic postoperative pain protocols for this patient subset.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Forty consecutive patients, undergoing open posterior spine surgery, were evaluated for postoperative pain during the first 72 after surgery. All patients were then divided into two groups according to the number of spine levels fused, and the correlation between the number of fusion levels and self\u2010reported pain was analyzed statistically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Self\u2010reported pain levels were not found to correlate with the extent of the spine operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>As \u201cbigger operation\u201d does not necessarily equate with \u201cbigger pain,\u201d adequate postoperative pain control after extensive spine fusion surgery might be achieved without the routine use of narcotic medication, as practiced after minimally invasive and percutaneous surgery. Additional prospective randomized trials are needed to further substantiate this conclusion.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13157","type":"journal-article","created":{"date-parts":[[2022,8,27]],"date-time":"2022-08-27T10:06:21Z","timestamp":1661594781000},"page":"688-694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Self\u2010reported pain during the initial postoperative period following open lumbar spine fusion surgery does not correlate with the number of levels fused: A prospective trial of 40 patients"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3524-3128","authenticated-orcid":false,"given":"Adi","family":"Shani","sequence":"first","affiliation":[{"name":"Acute Pain Service Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5382-7771","authenticated-orcid":false,"given":"Dana","family":"Baron Shahaf","sequence":"additional","affiliation":[{"name":"Neuro Anesthesia Unit, Anesthesiology Department Rambam Healthcare Campus  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0639-5299","authenticated-orcid":false,"given":"Dan","family":"Ciubotaru","sequence":"additional","affiliation":[{"name":"Department of Orthopedics B and Spine Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2324-6455","authenticated-orcid":false,"given":"Alon","family":"Rod","sequence":"additional","affiliation":[{"name":"Department of Orthopedics B and Spine Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4712-0010","authenticated-orcid":false,"given":"Nimrod","family":"Rahamimov","sequence":"additional","affiliation":[{"name":"Department of Orthopedics B and Spine Surgery Galilee Medical Center  Nahariya Israel"},{"name":"Bar\u2010Ilan University Medical School  Safad Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-8237.161589"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/78.5.606"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2019.08.010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2015.11.001"},{"issue":"4","key":"e_1_2_7_6_1","first-page":"3032","article-title":"Minimally invasive spine surgery decreases postoperative pain and inflammation for patients with lumbar spinal stenosis","volume":"18","author":"Peng H","year":"2019","journal-title":"Exp Ther Med"},{"issue":"6","key":"e_1_2_7_7_1","first-page":"557","article-title":"Analgesia after surgery of the spine in adults and adolescents","volume":"43","author":"Bernard JM","year":"1995","journal-title":"Cah Anesthesiol"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2007.05.003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2012.05.004"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3171\/2016.9.SPINE16375"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002905"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002458"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.808"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-016-0775-3"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2019.05.001"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30428-3"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/7490801"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000003025"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2018.06.020"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5021-y"},{"issue":"5","key":"e_1_2_7_21_1","first-page":"108","article-title":"In the spine or in the brain? 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