2026-05-23T22:29:30Zhttps://keep.lib.asu.edu/oai/request

oai:keep.lib.asu.edu:node-2026312025-11-03T19:21:47Zoai_pmh:alloai_pmh:repo_items

202631 https://hdl.handle.net/2286/R.2.N.202631 http://rightsstatements.org/vocab/InC/1.0/ http://creativecommons.org/licenses/by-nc-sa/4.0 2025-12 17 pages Bowman, Emily Day, Kim Hagler, Debra Barrett, The Honors College Edson College of Nursing and Health Innovation Multimodal analgesia has emerged as a promising approach to pain management in spinal fusion surgery, aiming to reduce reliance on opioids while enhancing patients’ postoperative recovery. This systematic review synthesizes findings from 13 studies, including randomized controlled trials, clinical studies, and meta-analyses published between 2015 and 2025 to evaluate the effectiveness of multimodal strategies in adult patients undergoing spinal fusion procedures. Interventions analyzed include combinations of NSAIDs, acetaminophen, gabapentinoids, corticosteroids, and regional anesthesia techniques. Across studies, multimodal approaches consistently demonstrated reductions in postoperative opioid consumption, improved pain scores, and shorter hospital stays—with some protocols also supporting faster functional recovery. However, variability in protocols, limited long-term follow-up, and mixed results for certain agents such as pregabalin highlight the need for more standardized and patient-specific approaches. These findings underscore the importance of adopting evidence-based multimodal regimens and support the continued integration of enhanced recovery pathways in spinal surgery. Future research should focus on optimizing and personalizing perioperative pain management strategies. Multimodal Pain Management Opioids Spinal Surgery Evaluating Multimodal Pain Management in Patients Undergoing Spinal Fusion Surgery