Download Full Text (1008 KB)

Download Prior to Surgery Algorithm (113 KB)

Download Intraoperative Algorithm (219 KB)

Download Inpatient Algorithm (205 KB)

Download ERAS Overview (193 KB)

Download ERAS Overview-Spanish (185 KB)

Publication Date



These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.

Objective of the Clinical Pathway

The Spinal Fusion Enhanced Recovery After Surgery (ERAS) pathway aims to minimize the variation of care for the patient undergoing posterior spinal fusion for idiopathic scoliosis, starting with the surgical visit through hospital discharge. This includes optimizing pre-operative nutrition/metabolism, decreasing adverse medication side effects, promoting earlier return of bowel function, improving wound and anastomotic healing, and reducing overall hospitalization length of stay. In the last several decades the application of ERAS principles has shown significant improvements in various surgeries regarding length of stay, opioid use, pain control, and return to diet.

Target Users

Anesthesiologists; Pediatric Spine Surgeons; Nurse practitioners; Nurses (Operating Room, Inpatient)




Enhanced Recovery After Surgery (ERAS) programs promote an evidence-based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay, and minimizing post-operative complications. From scheduling through discharge, all phases of perioperative care are incorporated into ERAS programs.

Spinal Fusion Enhanced Recovery After Surgery

Included in

Pediatrics Commons