Is Total Disk Replacement a Cost-effective Treatment for Cervical Degenerative Disk Disease?

Clinical Spine Surgery : a Spine Publication
Bernd WiedenhöferMarkus Eichler

Abstract

A retrospective study. The objective of this study was to assess the cost-effectiveness and clinical outcome of motion-preserving versus fusion procedures in cervical spine surgery. During the last decade there has been a huge growth in spine surgery with a concurrent increase in the economic burden. Currently, there appear to be no differences in clinical outcome between cervical total disk replacement (TDR) and spinal fusion (SF). For this reason it seems useful to know within the decision-making process whether there is a difference in actual cost between motion-preserving and fusion surgery. So far data that describe expenses involved in these procedures have not been available. This study offers a comparison of economic factors that should be considered in TDR and SF. The German statutory general healthcare insurance (GHI) provides anonymized patient-related data of their customers. A retrospective query using the codes of surgery of all TDR and SF surgery was performed from January 2003 to June 2008. A total of 467 cases with monosegmental or bisegmental surgery for degenerative disk pathologies were included. Both groups showed significant differences in independent variables such as age and sex (P<0.0001), but not in re...Continue Reading

References

Nov 17, 2006·Spine·Christoph MehrenH Michael Mayer
Sep 16, 2008·The Spine Journal : Official Journal of the North American Spine Society·Mohammed F ShamjiRobert E Isaacs
Jan 10, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Arup K BhadraR J Crawford
Dec 26, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Petr SuchomelShamel Elgawhary
Dec 14, 2012·Evidence-based Spine-care Journal·K Daniel RiewAndrea C Skelly

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