A Study About The Application Of ERAS Concept In Adolescent Idiopathic Scoliosis

Objective: Research on the application of enhanced recovery after surgery(ERAS)to patients with adolescent idiopathic scoliosis(AIS)during the perioperative period,who undergoing one-stage posterior surgery without three-column osteotomy.And to develop a comprehensive perioperative management process for AIS patients.Method: The clinical data of 40 patients with adolescent idiopathic scoliosis(AIS) who underwent one-stage posterior surgery without three-column osteotomy from September 2021 to August 2022 in Department of Spinal Surgery,the First People’s Hospital of Yunnan Province were collected and analyzed.All patients met the inclusion criteria.From September 1,2021 to March 31,2022,20 patients treated with the ERAS protocol developed by our department in 2019 were selected as the traditional recovery group.From April 1,2022 to August 31,2022,20 patients treated with the 2022 optimized and modified ERAS regimen in our department were selected as the enhanced recovery group.Preoperative basic data did not differ significantly between the two groups(P > 0.05).The intraoperative conditions(correction rate,fusion level,number of pedicle screws inserted,total operation time,intraoperative blood loss),postoperative conditions(first ambulation time,VAS scores at 12 h and 72 h after operation,the length of stay,hospitalization cost,and complications were recorded and compared between the two groups.Approximately half a year was spent to following up on the patients(ODI scores and Cobb Angles at1,3 and 6 months after operation).Results: A six-month follow-up was conducted on all patients.Compared with the traditional recoery group,The enhanced recovery group had shorter operation time,less intraoperative blood loss,shorter length of stay,lower VAS scores,lower hospitalization cost,and higher overall satisfaction,and the differences were statistically significant(P < 0.05).There were no significant differences in the incidence of postoperative complications,and ODI scores and Cobb Angles at 1,3 and 6 months after operation(P > 0.05).Conclusion: As compared to traditional recovery groups,the optimized ERAS manag-ement process has better overall efficacy in the management of perioperative adolesc ent idiopathic scoliosis,which is worthy for clinical application.