Enhanced recovery after surgery in patients after unilateral biportal endoscopy lumbar interbody fusion
Objective To analyze the effectiveness of enhanced recovery after surgery(ERAS)in patients after unilateral biportal endoscopy lumbar interbody fusion(ULIF).Methods One hundred and forty lumbar disc fusion patients admitted between May 2022 and May 2023 were selected,and the patients were divided into the observation group(n = 71)and control group(n = 71)according to the random number table method.Routine protocol was used in the control group and ERAS protocol was used in the observation group.Perioperative indicators,postoperative complications,pain and low back function were assessed in both groups.Results The intraoperative and postoperative blood loss,postoperative drainage volume from day 1 to 3,drainage tube removal time,bed leaving and hospital stay of the observation group were lower than those of the control group(P<0.05);at 7 days postoperatively,the visual analogue scale(VAS)for leg pain,the VAS score for the back and the Oswestry disability index(ODI)of the observation group were all lower than those of the control group(P<0.05).At the final follow-up,there was no statistically significant difference in the postoperative intervertebral fusion grade and excellent rate between the two groups(P>0.05).Conclusions The ERAS protocol is effective in optimising perioperative indicators and functions,while reducing early postoperative pain and complication rate for patients with ULIF.
Enhanced recovery after surgerySpinal fusionLumbar vertebraeMinimally invasive surgical procedures
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