Evaluation of an opioid-sparing protocol for spine surgeries performed in an ambulatory surgery center

doi:10.5312/wjo.122060

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World Journal of Orthopedics

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2218-5836

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Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. Aug 18, 2026; 17(8): 122060
Published online Aug 18, 2026. doi: 10.5312/wjo.122060

Table 3 Perioperative ambulatory surgery center outcomes by protocol, mean ± SD/median (25^th-75^th percentile)

	Usual care (n = 208)	Opioid-sparing protocol (n = 82)	P value
Intraoperative MME¹	30.0 (25.0-45.0)	25.0 (25.0-39.4)	0.119
Minutes in OR	113.4 ± 37.6	106.8 ± 27.8	0.099
PACU hours	2.8 ± 1.5	2.4 ± 1.3	0.006
PACU opioids received, n (%)	147 (70.7)	45 (54.9)	0.015
PACU MME¹	5.0 (0.0-12.5)	5.0 (0.0-5.0)	< 0.001
LOS hours	4.9 ± 1.9	4.1 ± 1.7	< 0.001

¹Non-normally distributed data presented as median (25^th-75^th percentile), Mann Whitney U test.

MME: Morphine milligram equivalents; OR: Operating room; PACU: Post-anesthesia care unit; LOS: Length of stay.

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Citation: Parker J, Brennan JC, Johnson AH, Peterman MA, Turcotte JJ, Patton CM. Evaluation of an opioid-sparing protocol for spine surgeries performed in an ambulatory surgery center. World J Orthop 2026; 17(8): 122060
URL: https://www.wjgnet.com/2218-5836/full/v17/i8/122060.htm
DOI: https://dx.doi.org/10.5312/wjo.122060

Parker J, Brennan JC, Johnson AH, Peterman MA, Turcotte JJ, Patton CM. Evaluation of an opioid-sparing protocol for spine surgeries performed in an ambulatory surgery center. World J Orthop 2026; 17(8): 122060 [DOI: 10.5312/wjo.122060]

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