{"title":"Contributors to authors","authors":"","doi":"10.1053/S1040-7383(25)00051-6","DOIUrl":"10.1053/S1040-7383(25)00051-6","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101207"},"PeriodicalIF":0.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anirudh K. Gowd, Andrew S. Moon, Romil F. Shah, Terrence T. Kim
{"title":"Emerging technologies enhancing ERAS in spine surgery","authors":"Anirudh K. Gowd, Andrew S. Moon, Romil F. Shah, Terrence T. Kim","doi":"10.1016/j.semss.2025.101190","DOIUrl":"10.1016/j.semss.2025.101190","url":null,"abstract":"<div><div>Enhanced Recovery After Surgery (ERAS) protocols in spine surgery have transformed perioperative care by minimizing surgical stress and accelerating patient recovery. Despite advancements through minimally invasive techniques and multimodal analgesia, challenges such as variable adherence and limited personalization persist. Emerging technologies offer promising solutions to optimize ERAS outcomes. Artificial intelligence (AI) and machine learning are being used to predict complications, personalize recovery protocols, and support clinical decision-making with real-time data analysis. Wearable biosensors and accelerometers enable continuous, wireless monitoring of vital signs and physical activity, facilitating early detection of complications and promoting patient mobility. Remote patient monitoring platforms extend ERAS principles into the home setting, allowing real-time tracking of recovery metrics, early intervention for complications, and enhanced patient engagement through mobile applications. Furthermore, precision medicine approaches—such as pharmacogenomics-guided pain management, individualized rehabilitation strategies, and patient-specific surgical optimization—aim to tailor care based on genetic, functional, and anatomical factors. Although these innovations align with ERAS goals of faster, safer recovery, widespread implementation faces hurdles, including the need for robust clinical validation, clinician and patient education, and demonstration of cost-effectiveness. Nevertheless, early evidence indicates that technology-enhanced ERAS pathways could substantially improve patient-centric outcomes and redefine standards of postoperative spine care. As research progresses and adoption grows, integrating AI, wearables, telehealth, and personalized medicine into ERAS protocols may usher in a new era of smarter, precision-guided recovery for spine surgery patients.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101190"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postoperative anesthesia and care pathways in ERAS for spine surgery","authors":"Ernest E. Braxton Jr.","doi":"10.1016/j.semss.2025.101187","DOIUrl":"10.1016/j.semss.2025.101187","url":null,"abstract":"<div><div>The trend toward minimally invasive surgical techniques and outpatient procedures has emphasized the need for effective postoperative analgesic plans, particularly amid rising opioid addiction rates. This article reviews the use of multimodal pain management with a focus on reducing opioid use, erector spinae blocks (ESB) blocks with ambulatory infusion catheters for postoperative analgesia in outpatient spine surgery, early mobilization protocols and cognitive intervention, and management of post-operative nutrition. This review will address postoperative management, stressing the importance of individualized pain management plans considering surgical approach, patient pain history, infection risk, and anticoagulation status. The article highlights the need for further research in Enhanced Recovery After Surgery (ERAS) techniques specific to spine surgery and emphasizes multidisciplinary consultation for optimal patient outcomes.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101187"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehul Mittal , Nicholas D’ambrose , Rishi Jain , Bibek Samal , Sepehr Khavari , Dillan Prasad , Sharbel Romanos , Alok Sharan
{"title":"ERAS protocols: Impact on outcomes in spine surgery","authors":"Mehul Mittal , Nicholas D’ambrose , Rishi Jain , Bibek Samal , Sepehr Khavari , Dillan Prasad , Sharbel Romanos , Alok Sharan","doi":"10.1016/j.semss.2025.101188","DOIUrl":"10.1016/j.semss.2025.101188","url":null,"abstract":"<div><div>Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach primarily aimed to improve postoperative patient outcomes and satisfaction. Over the past decade, new ERAS protocols for spine surgery have emerged in efforts to reduce opioid persistence, chronic pain, and high costs that are specific to the encompassed procedures. Despite promising results, ERAS protocols face many barriers to standardized usage globally and limited efforts to improve their application. In this narrative review, the components and benefits of spine surgery ERAS protocols, their barriers to implementation, and the strategies needed to overcome these barriers in the realm of spine surgery are discussed.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101188"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shriya N. Patel, Sloane O. Ward, Mattin Moazzam, Arash J. Sayari, Kern Singh
{"title":"Intraoperative strategies to enhance recovery in spine surgery","authors":"Shriya N. Patel, Sloane O. Ward, Mattin Moazzam, Arash J. Sayari, Kern Singh","doi":"10.1016/j.semss.2025.101186","DOIUrl":"10.1016/j.semss.2025.101186","url":null,"abstract":"<div><div>The field of spine surgery is constantly evolving along with recovery strategies for patients. The ability to maximize patient postoperative recovery through intraoperative strategies is becoming increasingly relevant. Implementing intraoperative strategies in surgery optimizes patient recovery and ultimately leads to significant benefits postoperatively. Crucial intraoperative enhanced recovery strategies consist of but are not limited to, minimally invasive surgical techniques, blood conservation strategies, optimization of patient positioning, and neuromonitoring. This article aims to inform physicians of the most effective enhanced intraoperative recovery strategies to maximize their success in spine surgery.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101186"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carol Girgiss , Modupe Oladele , M. Alice Vijjeswarapu
{"title":"Anesthesia and pain management in ERAS for spine surgery","authors":"Carol Girgiss , Modupe Oladele , M. Alice Vijjeswarapu","doi":"10.1016/j.semss.2025.101185","DOIUrl":"10.1016/j.semss.2025.101185","url":null,"abstract":"<div><div>Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based approach that has demonstrated significant benefits in spinal surgery, including reduced complications, shorter hospital stays, and improved patient satisfaction. Originally developed for colorectal and cardiothoracic procedures, ERAS protocols are increasingly applied to spine surgery, emphasizing preoperative optimization, multimodal analgesia, regional anesthesia, and intraoperative strategies such as minimally invasive techniques, blood conservation, and neuromonitoring. Postoperatively, early mobilization, nutritional support, and opioid-sparing pain management are critical to enhancing recovery. Successful ERAS implementation depends on multidisciplinary collaboration, standardized pathways, and ongoing quality improvement to overcome logistical barriers. Future directions include tailoring protocols for high-risk populations and leveraging patient-reported outcomes to refine care. As ERAS continues to evolve, it holds the potential to continue to transform perioperative spine care by integrating technology, evidence-based practices, and individualized patient management strategies.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101185"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to ERAS in spine surgery: current concepts and goals","authors":"G․Damian Brusko, Michael Y. Wang","doi":"10.1016/j.semss.2025.101183","DOIUrl":"10.1016/j.semss.2025.101183","url":null,"abstract":"<div><div>There exists a growing body of evidence to support the efficacy of Enhanced Recovery After Surgery (ERAS) for treatment across the breadth of spinal pathologies. Future multi-institutional and international collaborations and randomized controlled trials are necessary to further strengthen the role of ERAS in spine surgery. However, given the early successes of the novel ERAS programs and continued iterative process improvements, spine surgeons should consider implementation of enhanced recovery principles into their own practice.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101183"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brian H. Cho , Matthew S. Miyasaka , Skanda Sai , Samuel K. Cho
{"title":"Preoperative optimization and patient preparations for spine surgery: A narrative review of ERAS protocols","authors":"Brian H. Cho , Matthew S. Miyasaka , Skanda Sai , Samuel K. Cho","doi":"10.1016/j.semss.2025.101184","DOIUrl":"10.1016/j.semss.2025.101184","url":null,"abstract":"<div><div>Preoperative optimization and patient preparation is a cornerstone of many Enhanced Recovery After Surgery (ERAS) protocols. The incorporation of preoperative care elements before spine surgery has been associated with shorter length of stays and greater patient recovery. Since many protocols have been proposed, it is important to describe preoperative interventions that are both effective and accessible, as well as to identify areas for further study. This review summarizes the current literature on different preoperative strategies to improve patient outcomes after spine surgery.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101184"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonathon Cavaleri , Hannah Licari , Eugenia Ayrian , John Liu , Patrick Hsieh , Raymond Hah , Jeffrey Wang
{"title":"Case studies in ERAS implementation: lessons learned","authors":"Jonathon Cavaleri , Hannah Licari , Eugenia Ayrian , John Liu , Patrick Hsieh , Raymond Hah , Jeffrey Wang","doi":"10.1016/j.semss.2025.101189","DOIUrl":"10.1016/j.semss.2025.101189","url":null,"abstract":"<div><div>Enhanced Recovery After Surgery (ERAS) protocols seek to improve outcomes in spine surgery and are becoming more widely adopted. Our own institution now has considerable experience with ERAS over the past decade. We present two of our own cases that highlight some of the differences in our approach to perioperative care in complex spine surgery before and after implementation of an ERAS protocol. We have learned valuable lessons over this time, and we share our experience in this manuscript.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 3","pages":"Article 101189"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contributors to authors","authors":"","doi":"10.1053/S1040-7383(25)00040-1","DOIUrl":"10.1053/S1040-7383(25)00040-1","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 2","pages":"Article 101196"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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