Arthrodesis ups complications, costs for spondylolisthesis

Arthrodesis ups complications, costs for spondylolisthesis

(HealthDay)—For patients with lumbar spondylolisthesis, decompressive laminectomy and spinal arthrodesis is associated with lower reoperation rates, but with higher complication rates and higher overall costs than laminectomy alone, according to a study published in the Nov. 6 issue of The Journal of Bone & Joint Surgery.

Shivanand P. Lad, M.D., Ph.D., from the Duke University Medical Center in Durham, N.C., and colleagues examined complications, reoperation rates, and health care-associated costs for 16,556 patients with a primary diagnosis of lumbar who underwent surgical treatment from 2000 to 2009, identified from the MarketScan database.

The researchers found that, compared with patients undergoing decompression alone, patients undergoing arthrodesis had significantly higher complication rates during the initial hospitalization (8.3 versus 4.8 percent; P < 0.0001) and at the 90-day follow-up (9.6 versus 5.5 percent; P < 0.0001), with no difference for instrumented versus noninstrumented arthrodesis. The rates of at ≥ two years were higher in who underwent decompression alone versus those who received arthrodesis (15.7 versus 11.9 percent; P = 0.034). Patients managed with arthrodesis had higher initial hospital costs and two-year and five-year overall costs (in 2009 U.S. dollars) than those who had decompression only ($102,906 versus $89,337; P = 0.0018).

"The long-term outcomes and costs of these procedures should be evaluated in conjunction with clinical efficacy to ensure the most cost-effective treatment is utilized," the authors conclude.

One or more authors disclosed a financial relationship with an entity in the biomedical arena.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Racial disparities exist in outcomes of spinal surgery

date Jun 18, 2013

(HealthDay)—The rate of complications, length of stay, and costs associated with surgery for lumbar spinal stenosis differ for African-American patients compared with white patients, according to research ...

High-dose rhBMP linked to increased incidence of cancer

date Oct 04, 2013

(HealthDay)—Patients receiving high-dose recombinant human bone morphogenetic protein-2 (rhBMP-2) as part of spine surgery have an increased risk of cancer and may be at risk for major complications, according ...

More complications for inpatient lumbar discectomy

date Feb 04, 2013

(HealthDay)—Patients undergoing inpatient lumbar discectomy have significantly higher overall complication rates than those treated as outpatients, according to a study published in the Feb. 1 issue of ...

Recommended for you

Level I trauma experience prepares surgeons for battle

date Jul 01, 2015

Soldiers injured during the conflicts in Iraq and Afghanistan have the highest survival rates in history, thanks to the availability of surgeons skilled in combat care. But combat-ready surgical skills are hard to sustain ...

Surgery may help adolescents with frequent migraines

date Jun 29, 2015

(HealthDay)—Migraine surgery may be an effective choice for adolescents who haven't gotten relief from standard treatment, a small study suggests. The findings were published in the June issue of Plastic an ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.