The Spine Journal
Volume 10, Issue 6 , Pages 463-468 , June 2010

Cost and use of conservative management of lumbar disc herniation before surgical discectomy

  • Scott D. Daffner, MD

      Affiliations

    • Department of Orthopaedics, West Virginia University, Morgantown, WV 26506-9196, USA
    • Corresponding Author InformationCorresponding author. Department of Orthopaedics, West Virginia University, PO Box 9196, Morgantown, WV 26506-9196, USA. Tel.: (304) 293-2779; fax: (304) 293-7042.
    • ,
  • Henry J. Hymanson, BS

      Affiliations

    • Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-6902, USA
    • ,
  • Jeffrey C. Wang, MD

      Affiliations

    • Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-6902, USA

Received 20 May 2009 ,Revised 11 December 2009 ,Accepted 5 February 2010.

References 

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  3. Weinstein JN, Lurie JD, Olson PR, et al. United States' trends and regional variations in lumbar spine surgery: 1992-2003. Spine. 2006;31:2707–2714
  4. Atlas SJ, Keller RB, Wu YA, et al. Long-term outcomes of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the Maine Lumbar Spine Study. Spine. 2005;30:927–935
  5. Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort. JAMA. 2006;296:2451–2459
  6. Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA. 2006;296:2441–2450
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  8. Malter AD, Larson EB, Urban N, et al. Cost-effectiveness of lumbar discectomy for the treatment of herniated intervertebral disc. Spine. 1996;21:1048–1054discussion 55
  9. Schoeggl A, Reddy M, Matula C. Functional and economic outcome following microdiscectomy for lumbar disc herniation in 672 patients. J Spinal Disord Tech. 2003;16:150–155
  10. Tosteson AN, Skinner JS, Tosteson TD, et al. The cost effectiveness of surgical versus nonoperative treatment for lumbar disc herniation over two years: evidence from the Spine Patient Outcomes Research Trial (SPORT). Spine. 2008;33:2108–2115
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  12. Atlas SJ, Deyo RA, Keller RB, et al. The Maine Lumbar Spine Study, Part II. 1-year outcomes of surgical and nonsurgical management of sciatica. Spine. 1996;21:1777–1786
  13. Atlas SJ, Keller RB, Chang Y, et al. Surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: five-year outcomes from the Maine Lumbar Spine Study. Spine. 2001;26:1179–1187
  14. Carrino JA, Morrison WB, Parker L, et al. Spinal injection procedures: volume, provider distribution, and reimbursement in the U.S. Medicare population from 1993 to 1999. Radiology. 2002;225:723–729

 FDA device/drug status: not applicable.

 Author disclosures: JCW (royalties, Medtronics, Stryker, Seaspine, Osprey, Aesculap, Biomet, DePuy, Amedica, Zimmer, Alphatech; stock ownership, including options and warrants, FzioMed; private investments, including venture capital, start-ups, Promethean Spine, Paradigm spine, Benevenue, NexGen, K2 Medical, Pioneer, Amedica, Vertiflex, Electrocore, Surgitech, Invuity, Axiomed; consulting, FzioMed, Medtronics, Lanx, MTF, Facet Solutions, DePuy; speaking and/or teaching arrangements, Stryker, Seaspine, Vertiflex; trips/travel, DePuy, Stryker; board of directors, North American Spine Society, Cervical Spine Research Society; scientific advisory board, VG Innovations, Corespine, Expanding Orthopaedics, Syndicom, Osprey, Flexuspine, Amedica, Bone Biologics, Curative Biosciences, Facet Solutions, PearlDiver, Pioneer, Seaspine, Axis; grants, Fonar; fellowship support, AO Foundation).

PII: S1529-9430(10)00104-X

doi: 10.1016/j.spinee.2010.02.005

The Spine Journal
Volume 10, Issue 6 , Pages 463-468 , June 2010

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