ERAS-guided matrix nursing pathway targeting risk factors in spine surgery: development and prospective evaluation

Advanced age, prolonged operative duration, and increased intraoperative blood loss were independently associated with postoperative infectious complications, while prophylactic antibiotic use was protective. The ERAS-guided, matrix-structured nursing pathway was feasible and was associated with improved perioperative outcomes, supporting its potential value for optimizing perioperative care in spinal surgery.