A Cost-Effectiveness Analysis of the Integration of Robotic Spine Technology in Spine Surgery

Neurospine
Richard Philip MengerAnthony Sin

Abstract

We investigate the cost-effectiveness of adding robotic technology in spine surgery to an active neurosurgical practice. The time of operative procedures, infection rates, revision rates, length of stay, and possible conversion of open to minimally invasive spine surgery (MIS) secondary to robotic image guidance technology were calculated using a combination of institution-specific and national data points. This cost matrix was subsequently applied to 1 year of elective clinical case volume at an academic practice with regard to payor mix, procedural mix, and procedural revenue. A total of 1,985 elective cases were analyzed over a 1-year period; of these, 557 thoracolumbar cases (28%) were analyzed. Fifty-eight (10.4%) were MIS fusions. Independent review determined an additional ~10% cases (50) to be candidates for MIS fusion. Furthermore, 41.4% patients had governmental insurance, while 58.6% had commercial insurance. The weighted average diagnosis-related group reimbursement for thoracolumbar procedures for the hospital system was calculated to be $25,057 for Medicare and $42,096 for commercial insurance. Time savings averaged 3.4 minutes per 1-level MIS procedure with robotic technology, resulting in annual savings of $5,71...Continue Reading

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Citations

May 1, 2019·Current Reviews in Musculoskeletal Medicine·Justin D StullGregory D Schroeder
Jul 30, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Junyu LiMiao Yu
Apr 22, 2020·Global Spine Journal·Jens R ChapmanKarsten Wiechert
Aug 8, 2020·Spine Deformity·Ibrahim HussainPraveen V Mummaneni
Jun 13, 2020·Global Spine Journal·Ibrahim HussainRoger Härtl
Jun 13, 2020·Global Spine Journal·Chau D VoNicholas Theodore
Jun 27, 2019·Current Reviews in Musculoskeletal Medicine·Benjamin HopkinsAlpesh A Patel
Oct 15, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Hyung Cheol KimSeong Yi
Sep 26, 2020·The Spine Journal : Official Journal of the North American Spine Society·Nida FatimaJohn H Shin
Jan 2, 2021·Mayo Clinic Proceedings·Mohamad BydonFredric B Meyer
Apr 24, 2021·Global Spine Journal·Lucas R PhilippJames S Harrop
Jun 16, 2021·Operative Neurosurgery·Zach PenningtonJuan S Uribe

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