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This review aims at analyzing the characteristics of study populations, interventions and outcomes in spine patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Embase and Ovid were searched from inception until March 2025. We followed PRISMA guidelines. Study quality and risk of bias were assessed. In addition to a narrative synthesis of the evidence, a meta-analysis of RCTs evaluating length of stay (LOS) for a lumbar spine population was conducted. This review was registered prospectively on PROSPERO (No. CRD42025638293).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      1431 records were identified, from which 81 studies were included. Reports of ERAS predominantly exist for degenerative spine pathologies (n = 35\/81, 43.2%) and spinal deformities (n = 29\/81, 35.8%). Most studied interventions were postoperative analgesia, early mobilisation (both n = 61\/81, 75.3%) and patient education (n = 60, 74.1%). The most frequently used outcome measures were LOS (n = 65\/81, 92.9%) and complication rates (n = 40\/81, 49.4%). The overall median complication rate for ERAS patients was found to be lower (8.8% vs 15.6%). There was a statistically non-significant tendency for ERAS shortening LOS for 1\u00a0day in lumbar spine patients [95%CI -2.77, 0.71;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.25].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ERAS in spine surgery appears to be effective in terms of reducing LOS and complication rates. Further efforts at refining pain management and targeted disease-specific interventions are required. Whether ERAS interventions applied to individuals with significant neurological impairment and\/or medical frailty, can influence surgical outcomes needs to be further studied.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251393697","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T11:08:31Z","timestamp":1762427311000},"page":"1660-1672","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Enhanced Recovery After Surgery (ERAS) in Spine Surgery: A Systematic Review and Meta-Analysis of Spinal Surgery Sub \u2013 Specialities, Interventions and Efficacy"],"prefix":"10.1177","volume":"16","author":[{"given":"Caroline","family":"B\u00fcchel","sequence":"first","affiliation":[{"name":"Spinal Cord Injury Center and Department of Neurology and Neurophysiology, Balgrist University Hospital, Zurich, 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