Early Diet Liberalization After Anterior Lumbar Interbody Fusion Improves Postoperative Recovery: Study
Tiffany Bridges et al conducted a study to assess the impact of diet liberalization on short-term outcomes in patients undergoing anterior interbody lumbar fusion (ALIF).
The purpose of the study was to evaluate postoperative outcomes and complications, such as post operative ileus (POI), length of stay (LOS), and urinary retention (POUR) based on diet status following anterior lumbar surgery. The findings of this study may serve to contribute to new spine specific Enhanced Recovery After Surgery (ERAS) protocols which can help surgeons and patients plan for optimization of the postoperative recovery period.
A retrospective review was performed for patients undergoing ALIF at three tertiary care institutions. Electronic medical records were reviewed for demographics, surgical characteristics, and 90-day postoperative outcomes.
Key findings of the study were:
• A total of 515 patients who underwent combined anterior (ALIF) and posterior (PLF or PLDF) lumbar surgery were included in the study.
• In total, 413 patients (80.2%) comprised the “Delayed Diet” group while 102 patients (19.8%) were in the “Full Diet” cohort.
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