In Reply to “Comments on ‘Trends and development of enhanced recovery after surgery programs in cranial and spinal neurosurgery’”

• Temporal citation normalization is recommended to mitigate chronological bias. • Bibliometric searches must balance retrieval sensitivity with disciplinary specificity. • Betweenness centrality indicates structural collaboration, not scientific quality. • Cranial ERAS necessitates highly tailored protocols due to neurological complexities.