{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:40:33Z","timestamp":1785393633152,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T00:00:00Z","timestamp":1713744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T00:00:00Z","timestamp":1713744000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the impact of Enhanced recovery after surgery (ERAS) protocols on peri-operative course in adult cervical deformity (ACD) corrective surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients \u226518 yrs with complete pre-(BL) and up to 2-year (2Y) radiographic and clinical outcome data were stratified by enrollment in an ERAS protocol that commenced in 2020. Differences in demographics, clinical outcomes, radiographic alignment targets, peri-operative factors and complication rates were assessed via means comparison analysis. Logistic regression analysed differences while controlling for baseline disability and deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 220 patients (average age 58.1 \u00b1 11.9 years, 48% female). 20% were treated using the ERAS protocol (ERAS+). Disability was similar between both groups at baseline. When controlling for baseline disability and myelopathy, ERAS- patients were more likely to utilize opioids than ERAS+ (OR 1.79, 95% CI: 1.45-2.50,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .016). Peri-operatively, ERAS+ had significantly lower operative time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .021), lower EBL (583.48 vs 246.51,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), and required significantly lower doses of propofol intra-operatively than ERAS- patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .020). ERAS+ patients also reported lower mean LOS overall (4.33 vs 5.84,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .393), and were more likely to be discharged directly to home (\u03c72(1) = 4.974,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .028). ERAS+ patients were less likely to require steroids after surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .045), were less likely to develop neuromuscular complications overall (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .025), and less likely experience venous complications or be diagnosed with venous disease post-operatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .025).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Enhanced recovery after surgery programs in ACD surgery demonstrate significant benefit in terms of peri-operative outcomes for patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682241249105","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T10:49:35Z","timestamp":1713782975000},"page":"1544-1551","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The Impact of Peri-operative Enhanced Recovery After Surgery Protocols on Outcomes Following Adult Cervical Deformity Surgery"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0580-5129","authenticated-orcid":false,"given":"Peter S.","family":"Tretiakov","sequence":"first","affiliation":[{"name":"NYU Langone Orthopedic Hospital; 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