Evaluation of an Enhanced Recovery Protocol After Minimally Invasive Lumbar Surgery.

Evaluation of an Enhanced Recovery Protocol After Minimally Invasive Lumbar Surgery.

Prospective longitudinal multicentre observational study carried out on a population of patients undergoing minimally invasive spine surgery and divided into two parallel cohorts according to the presence or absence of a Enhanced Recovery After Surgery (ERAS) programme.

The patient will be assessed during 4 visits: At inclusion before surgery, at D0 (day of surgery), at D1 (postoperative visit) and at M1 (follow-up visit).

On a population of patients undergoing minimally invasive lumbar spine surgery divided into two cohorts of equal size according to the presence or absence of a Enhanced Recovery After Surgery (ERAS) programme:

Primary objective To compare the percentage of therapeutic success achieved in each group one month after surgery.

Secondary objectives: to compare between groups:

• Postoperative pain intensity at D1 and M1
• Analgesic consumption (in stages) at D1 and M1
• Pain-free walking distance at M1
• Surgery conditions (duration of operation, duration of hospitalisation)
• Frequency of adverse events related to surgery (infection rate, 1 month recovery rate, transfusion requirements)
• Emotional impact of the management

Inclusion Criteria:

• Adult male or female (18 years or older)
• Patient who has agreed to participate in the study and has read and signed the consent form for participation in the study
• Patient for whom a minimally invasive spine surgery is planned: (dicectomy, lumbar canal recalibration with or without laminectomy, lumbar arthrodesis by posterior approach limited to one stage)

Exclusion Criteria:

• Patient with a contraindication to spinal anaesthesia
• A bedridden or institutionalised patient
• Mental deficiency or any other reason that may hinder the understanding or the strict application of the protocol
• Patient not affiliated to the French social security system
• Patient under legal protection, guardianship or curatorship
• Patient already included in another therapeutic study protocol