Value of enhanced recovery after surgery in patients undergoing minimally invasive transforaminal lumbar interbody fusion during perioperative period

  Objective  To investigate the application value of enhanced recovery after surgery (ERAS) in patients with lumbar spinal stenosis under minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in perioperation.

  Methods  A total of 120 hospitalized patients with lumbar spinal stenosis who underwent MIS-TLI treatment in the spinal surgery department were selected, and were divided into observation group(n=60) and control group(n=60). The observation group underwent ERAS management and the control group underwent ordinary management. The use of analgesics during the perioperative period of the two groups (varieties of drugs and amount of drugs), the length of hospital stay, and intraoperative blood loss were recorded. Preoperative and postoperative pain scores, postoperative feeding time, postoperative ground time, postoperative length of hospital stay, postoperative recovery and satisfaction were compared.

  Results  The intraoperative blood loss of patients in the observation group was(66.02±32.04) mL, which was significantly less than (94.04±37.02) mL of the control group (P < 0.001). The length of hospitalization in the observation group was (2.42±1.13) d, which was shorter than (4.01±1.98) d in the control group (P < 0.001). The anxiety score and pain score of the observation group 1 day after surgery were (8.46±6.31) and (1.88±0.24), respectively, which were lower than those before surgery (P < 0.05). The perioperative dosage of opioids and postoperative pain score one day after surgery in the observation group were lower than those in the control group, and the postoperative ground time and postoperative eating time were earlier than those in the control group (P < 0.05). The activities of daily living (ADL) score and satisfaction of patients in the observation group were higher than those in the control group (P < 0.05).

  Conclusion  ERAS for patients with lumbar spinal stenosis undergoing minimally invasive transformational lumbar inter body fusion can reduce the patient's anxiety and pain scores, decrease the use of analgesics, further promote postoperative recovery, improve the rehabilitation effect and patients'satisfaction.