Cervical disc replacement more cost-effective than ACDF 7 years postoperatively, study finds

Written by Shayna Korol | November 08, 2018 | Print  |

While single-level anterior cervical discectomy and fusion and cervical disc replacement are both cost-effect cervical disc degeneration treatments, CDR is the more cost-effective procedure at seven years postoperatively, according to a study in Spine.

Here are three things to know:

1. Study authors used a Markov model analysis to evaluate data from the LDR Mobi-C investigational device exemption study. They featured 174 CDR patients and 79 ACDF patients in their analysis.

2. Assuming the operative candidate is 40-years-old and failed appropriate conservative care, the seven-year cost was $103,924 for ACDF and $105,637 for CDR.

3. CDR generated 5.33 quality-adjusted life years while ACDF generated 5.16 QALYs. The incremental cost-effectiveness ratio was $10,076/QALY in favor of CDR, which was less than the willingness-to-pay threshold of $50,000/QALY.

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