Is ACDF for adjacent segment disease clinically valuable and cost effective? 5 key points

Clinical Spine Surgery published a study investigating the clinical outcomes and cost utility of anterior cervical discectomy and fusion for treating adjacent segment disease.

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Researchers reviewed 40 ASD patients undergoing ACDF, measuring baseline and two-year neck and arm pain, neck disability index, physical quality of life, mental quality of life and Zung depression score.

 

Here are five key points:

 

1. ACDF improved ASD patients’ neck and arm pain, physical and mental quality of life, NDI and ZDS outcome measurements.

 

2. These patients also demonstrated improved patient-reported health states; researchers found a two-year gain of 0.54 QALYs.

 

3. Researchers found ACDF’s mean two-year cost totaled $32,616 in the study.

 

4. The surgery for ASD had a mean two-year cost per QALY gain of $60,526.

 

5. Researchers concluded ACDF surgical intervention for ASD patients is cost effective and clinically effective.

 

More articles on spine:
5 key points on Rockford Spine Center’s Dr. Michael Roh
JFK Neuroscience Institute focuses on minimally invasive treatments for pain: 4 notes
Which anesthesia method is superior following ACDF? 5 insights comparing multimodal and patient-controlled analgesia

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