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Treatment of cervical radiculopathy: A review of the evolution and economics.
- Source :
- Surgical Neurology International; 2/14/2018, p1-3, 3p
- Publication Year :
- 2018
-
Abstract
- Background: The surgical treatment of cervical radiculopathy has centered around anterior cervical discectomy and fusion (ACDF). Alternatively, the posterior cervical laminoforaminotomy/microdiscectomy (PCF/PCM), which results in comparable outcomes and is more cost-effective, has been underutilized. Methods: Here, we compared the direct/indirect costs, reoperation rates, and outcome for ACDF and PCF vs. PCM using PubMed, Medline, and Embase databases. Results: There were no significant differences between the re-operative rates of PCF/PCM (2% to 9.8%) versus ACDF (2% to 8%). Direct costs of ACDF were also significantly higher; the 1-year cost-utility analysis demonstrated that ACDF had $131,951/QALY while PCM had $79,856/QALY. Results: There were no significant differences between the re-operative rates of PCF/PCM (2% to 9.8%) versus ACDF (2% to 8%). Direct costs of ACDF were also significantly higher; the 1-year cost-utility analysis demonstrated that ACDF had $131,951/QALY while PCM had $79,856/QALY. [ABSTRACT FROM AUTHOR]
- Subjects :
- RADICULOPATHY
COST effectiveness
DISCECTOMY
QUALITY of life
REOPERATION
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 22295097
- Database :
- Complementary Index
- Journal :
- Surgical Neurology International
- Publication Type :
- Academic Journal
- Accession number :
- 149744926
- Full Text :
- https://doi.org/10.4103/sni.sni_441_17