The Spine Journal
Volume 7, Issue 5 , Pages 558-562 , September 2007

An economic model of one-level lumbar arthroplasty versus fusion

  • Richard D. Guyer, MD

      Affiliations

    • Texas Back Institute, 6020 W Parker Rd, Ste 200, Plano, TX 75093, USA
    • Corresponding Author InformationCorresponding author. Texas Back Institute, 6020 W Parker Rd, Ste 200, Plano, TX 75093. Tel.: (972) 608-5114; fax: (972) 608-5020.
  • ,
  • Scott G. Tromanhauser, MD

      Affiliations

    • Boston Spine Group, 125 Parker Hill Ave, Boston, MA 02120, USA
  • ,
  • John J. Regan, MD

      Affiliations

    • West Coast Spine Institute, 1205 Spaulding Dr., Ste. 400, Beverly Hills, CA 90212, USA

Received 4 May 2006 ,Accepted 20 September 2006.

References 

  1. Strunk BC, Ginsburg PB, Cookson JP. Tracking health care costs: declining growth trend pauses in 2004. Health Aff (Millwood). 2005;(Suppl):W5–286–W5–95
  2. Buttner-Janz K, Schellnack K, Zippel H. [An alternative treatment strategy in lumbar intervertebral disk damage using an SB Charité modular type intervertebral disk endoprosthesis]. Z Orthop Ihre Grenzgeb. 1987;125:1–6
  3. Büttner-Janz K. Letter to the Editor concerning “Charité total disc replacement—clinical and radiographical results after an average follow-up of 17 years” (M. Putzier et al.). Eur Spine J. 2006;15:510–51321–2
  4. Cigna HealthCare Coverage Position: intervertebral disc (IVD) prosthesis. Available at: http://www.cigna.com/health/provider/medical/procedural/coverage_positions/medical/mm_0104_coveragepositioncriteria_intervebral_disc_prosthesis.pdf. Accessed May 1, 2006.
  5. Blue Cross Blue Shield artificial vertebral disc replacement tec assessment. Available at: http://www.bcbs.com/tec/vol20/20_01.pdf. Accessed May 1, 2006.
  6. CMS. Decision Memo for Lumbar Artificial Disc Replacement (CAG-00292N), U.S. Department of Health. Available at http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?id=170. Accessed May 16, 2006.
  7. Blumenthal SL, McAfee PC, Guyer RD, et al. A prospective, randomized, multicenter Food and Drug Administration investigational device exemptions study of lumbar total disc replacement with the CHARITÉ™ Artificial Disc versus lumbar fusion part I: evaluation of clinical outcomes. Spine. 2005;30:1565–1575
  8. Albertsen PC, Pellissier JM, Lowe FC, et al. Economic analysis of finasteride: a model-based approach using data from the Proscar Long-Term Efficacy and Safety Study. Clin Ther. 1999;21:1006–1024
  9. Baxter K, Bevan G. An economic model to estimate the relative costs over 20 years of different hip prostheses. J Epidemiol Community Health. 1999;53:542–547
  10. Evens RG. Economic implications of a new technology installation: a CT model. AJR Am J Roentgenol. 1981;136:673–677
  11. Goddard JA, Malek M, Tavakoli M. An economic model of the market for hospital treatment for non-urgent conditions. Health Econ. 1995;4:41–55
  12. Haycox A, Butterworth M, Walley T, et al. Development of an economic model for the management of upper gastrointestinal disease in primary care. Preliminary findings. Pharmacoeconomics. 1998;14(Suppl 2):11–23
  13. Angevine PD, Zivin JG, McCormick PC. Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis. Spine. 2005;30:1989–1997
  14. Blackmore CC, Ramsey SD, Mann FA, et al. Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis. Radiology. 1999;212:117–125
  15. Blackmore CC, Zelman WN, Glick ND. Resource cost analysis of cervical spine trauma radiography. Radiology. 2001;220:581–587
  16. Hollingworth W, Gray DT, Martin BI, et al. Rapid magnetic resonance imaging for diagnosing cancer-related low back pain. J Gen Intern Med. 2003;18:303–312
  17. Kaneriya PP, Schweitzer ME, Spettell C, et al. The cost-effectiveness of oblique radiography in the exclusion of C7-T1 injury in trauma patients. AJR Am J Roentgenol. 1998;171:959–962
  18. Lorish TR, Tanabe CT, Waller FT, et al. Correlation between health outcome and length of hospital stay in lumbar microdiscectomy. Spine. 1998;23:2195–2200
  19. Oleinick A, Gluck JV, Guire KE. Diagnostic and management procedures for compensable back injuries without serious associated injuries. Modeling of the 1991 injury cohort from a major Michigan compensation insurer. Spine. 1998;23:93–110
  20. Polly DW, Ackerman SJ, Shaffrey CI, et al. A cost analysis of bone morphogenetic protein versus autogenous iliac crest bone graft in single-level anterior lumbar fusion. Orthopedics. 2003;26:1027–1037
  21. Brantigan JW, Steffee AD, Lewis ML, et al. Lumbar interbody fusion using the Brantigan I/F cage for posterior lumbar interbody fusion and the variable pedicle screw placement system: two-year results from a Food and Drug Administration investigational device exemption clinical trial. Spine. 2000;25:1437–1446
  22. Burkus JK, Heim SE, Gornet MF, et al. Is INFUSE bone graft superior to autograft bone? An integrated analysis of clinical trials using the LT-CAGE lumbar tapered fusion device. J Spinal Disord Tech. 2003;16:113–122
  23. Federal Register, Vol 68, No. 148, August 1, 2003.
  24. Orthopaedic Network News 2005 spinal fusion instrumentation price comparison. Available at: http://www.orthopedicnetworknews.com/private1/archives/onn164spinematrix.pdf. Accessed October 12, 2005.
  25. Ghiselli G, Wang JC, Bhatia NN, et al. Adjacent segment degeneration in the lumbar spine. J Bone Joint Surg Am. 2004;86A:1497–1503
  26. Gillet P. The fate of the adjacent motion segments after lumbar fusion. J Spinal Disord Tech. 2003;16:338–345
  27. Lemaire JP, Carrier H, Sari Ali E, et al. Clinical and radiological outcomes with the CHARITÉ™ Artificial Disc: a 10-year minimum follow-up. J Spinal Disord. 2005;18:353–359

 FDA device/drug status: approved for this indication.Authors acknowledge a financial relationship (DePuy Spine), which may indirectly relate to the subject of this research.

PII: S1529-9430(06)00923-5

doi: 10.1016/j.spinee.2006.09.006

The Spine Journal
Volume 7, Issue 5 , Pages 558-562 , September 2007