Frailty, Myelopathy, and Enhanced Recovery after Surgery in Patients Undergoing Posterior Cervical Fusion

The enhanced recovery after surgery (ERAS) protocol is a proven method to improve postsurgical outcomes. While recent studies have shown the benefit of ERAS even in frail patient populations, myelopathy is another factor affecting outcomes in patients undergoing posterior cervical fusion (PCF). This...

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Bibliographic Details
Published in:World neurosurgery 2024-10, Vol.190, p.e290-e301
Main Authors: Stanton, Amanda N., Yan, Sandra C., Mohamed, Basma, Hoh, Daniel J., Porche, Ken
Format: Article
Language:English
Subjects:
ERAS
Frailty
Myelopathy
PCF
Spine
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Summary:The enhanced recovery after surgery (ERAS) protocol is a proven method to improve postsurgical outcomes. While recent studies have shown the benefit of ERAS even in frail patient populations, myelopathy is another factor affecting outcomes in patients undergoing posterior cervical fusion (PCF). This study evaluated the benefit of an ERAS protocol in frail patients undergoing PCF. A retrospective chart review identified consecutive patients undergoing PCF by a single surgeon from August 2015–July 2021, with implementation of ERAS in December 2018. Outcome measures included length of stay (LOS), nonhome discharge disposition, complications, return of physiologic function, and severe pain score. A mFI-5 score of ≥ 2 and a Nurick score of ≥ 3 defined frail and myelopathic patients, respectively. Univariate analysis (P 
ISSN:1878-8750
1878-8769
1878-8769
DOI:10.1016/j.wneu.2024.07.113