None listed
Conditions
Interventions
Behavioral : For the ERAS group, a standardized clinical pathway that includes preoperative education, early postoperative ambulation, early oral feeding after surgery, and early discharge—components
Sponsors
Seoul National University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: A. Patients who are able to ambulate independently for more than 30 minutes (see below for specific screening details): i. Patients who, despite intermittent claudication, are able to reach a target distance of more than 30 minutes by taking breaks intermittently during ambulation are included. ii. Patients who are able to reach a target distance of more than 30 minutes despite experiencing severe pain are also included. B. Patients who visited the neurosurgery outpatient clinic for surgical treatment due to lumbar degenerative disease, requiring 1-2 segmental fixation between lumbar 2 and sacral 1. C. Patients who voluntarily agree to participate in the research
Exclusion criteria
Exclusion criteria: A. Patients who have previously undergone lumbar surgery. B. Patients with muscle weakness of Manual Muscle Testing grade 3 or higher. C. Patients with coexisting neuropsychiatric disorders, such as depression. D. Patients with musculoskeletal diseases (inflammatory, myopathic, etc.) and infections other than lumbar degenerative disease. E. Patients with concurrent malignant disease. F. Patients who do not wish to participate in the research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numeric Rating Scale for back pain and leg pain | — |
Secondary
| Measure | Time frame |
|---|---|
| Numeric Rating Scale for back pain and leg pain;First ambulation time;First self-urination time;Total analgesic consumption;Patient satisfaction scale;Complication;30-day readmission;Medial cost (inhospital);Length of stay | — |
Countries
Korea, Republic of
Contacts
Public ContactJun-Hoe Kim
Seoul National University Hospital
Outcome results
None listed