[Objective]To investigate the value of enhanced recovery after surgery(ERAS)protocol used in the perioperative period of pedicle screw fixation of thoracolumbar fractures.[Methods]From April 2019 to June 2023,80 patients who received pedicle screw fixa-tion of thoracolumbar fractures were included in this study and randomly divided into two groups by coin tossing.Of them,40 patients re-ceived ERAS care,while the other 40 received conventional care.The documents regarding perioperative period and postoperative pain were compared between them.[Results]All patients in both groups had fracture fixed with pedicle screw successfully without serious com-plications.There was no significant difference in operation time and intraoperative blood loss between the two groups(P＜0.05),however,the ERAS group was significantly superior to the conventional groups in terms of the exhaust time[(19.4±5.6)hours vs(24.2±6.7)hours,P＜0.001],bed rest time[(22.5±6.2)hours vs(27.1±7.8)hours,P=0.005],hospital stay[(6.6±2.0)days vs(7.8±2.5)days,P=0.020],and the to-tal incidence of complications(5.0％vs 22.5％,P=0.023).Regarding pain,the ERAS group was marked significantly lower VAS scores 2 hours,1 day and 3 days postoperatively than the conventional group(P＜0.05),whereas which became not significantly different between the two groups 5 days after surgery(P＞0.05).In addition,the ERAS group was also significantly better than the conventional group in terms of time of first analgesia given[(7.4±2.8)hours vs(10.6±3.3)hours,P＜0.001]and the number of PCA compressed[(4.6±1.4)times vs(6.0±1.8)times,P＜0.001].[Conclusion]ERAS care in the perioperative period of pedicle screw fixation of thoracolumbar fractures can promote ear-ly recovery and reduce early postoperative pain.
thoracolumbar fracturepedicle screw fixationenhanced recovery after surgerypain
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