Spinal surgery revisions for proximal junctional failure cost millions: 5 key notes

A new study published in Spine examines the economic impact of revision surgery for proximal junctional failure after spinal deformity surgery.

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The researcher examined 501 patients who underwent thoracolumbar fusion for adult spinal deformity and 382 met the inclusion criteria. Here are five things to know:

 

1. There were 51 patients who had revision surgery for proximal junctional failure with a $3.2 million total direct cost.

 

2. The average direct cost of the initial operation for the cohort was $68,294, which was significantly greater than the revisions, with an individual cost of $55,547.

 

3. The upper thoracic area had a significantly higher average cost index for operations — $79,860 — as compared to the thoracolumbar junction at $65,868.

 

4. The PJF-revision cases were similar in average cost between the upper thoracic and thoracolumbar junction, which reported costs at $60,103 and $53,920 respectively.

 

5. The cost of the PJF added 12.1 percent to the total index surgical cost in 382 patients.

 

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