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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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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

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

Jack Parker, Jane C Brennan, Andrea H Johnson, Matthew A Peterman, Justin J Turcotte, Chad M Patton

Jack Parker, Jane C Brennan, Andrea H Johnson, Matthew A Peterman, Justin J Turcotte, Chad M Patton, Luminis Health Orthopedics, Anne Arundel Medical Center, Annapolis, MD 21401, United States

Author contributions: Parker J, Brennan JC, Johnson AH, Peterman MA, Turcotte JJ, and Patton CM contributed to conceptualization, data curation validation, visualization, writing - original draft, writing - review and editing, formal analysis, investigation, methodology, project administration, resources, software; Turcotte JJ and Patton CM contributed to supervision. All authors have read and approved the final manuscript.

AI contribution statement: No artificial intelligence tools were used in the preparation of this manuscript.

Institutional review board statement: This study was deemed exempt by the Institutional Review Board (WCG IRB) and a waiver of informed consent was granted.

Informed consent statement: A HIPAA waiver of informed consent was granted for this retrospective study.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.

Data sharing statement: The data used to perform this study is available from the authors upon reasonable request.

Corresponding author: Justin J Turcotte, PhD, Director, Luminis Health Orthopedics, Anne Arundel Medical Center, 2000 Medical Parkway, Annapolis, MD 21401, United States. jturcotte@luminishealth.org

Received: April 15, 2026
Revised: June 16, 2026
Accepted: July 14, 2026
Published online: August 18, 2026
Processing time: 128 Days and 13 Hours

Core Tip

Core Tip: The use of an opioid-sparing multimodal analgesia protocol for ambulatory spine surgery patients resulted in significant reductions in postoperative opioid consumption without compromising quality outcomes or increasing postoperative resource utilization. Patients in the opioid-sparing group had a shorter length of stay, were prescribed opioids less frequently in the recovery room, and were prescribed significantly fewer postoperative morphine-milligram-equivalents at discharge compared to those in the usual care group. Opioid sparing multimodal analgesia protocols appear safe and effective for patients undergoing spine surgery in the ambulatory surgery center setting.