الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Surgery on the spine and spinal cord is common and is performed for a wide range of conditions. The surgical treatment of adult lumbar spinal disorders carries a significant risk of intraoperative and perioperative complications especially in diabetic patients who face numerous hazards, including prolonged hospital stays, increased risk of infection, and increased morbidity and mortality. The improvement in perioperative management along with the introduction of novel anaesthetic and surgical techniques has significantly reduced the complications associated with lumbar spine surgery.
Enhanced recovery after surgery (ERAS) is an evidence based perioperative program so the journey begins before surgery and ends with patient discharge. ERAS programs improve patient satisfaction, reduce postoperative morbidity, inconstancy in the surgical care and hospital costs. There is paucity of data on implementation of ERAS in diabetic patients. Diabetic patients were either excluded from or included in extremely limited numbers in the reported randomized controlled trials that support ERAS protocols. So we designed an evidence-based enhanced recovery pathway for diabetic patients undergoing lumbar spine surgery based on enhanced recovery after surgery standards of care in order to address these knowledge gaps.