ArticleJournal of spine surgery (Hong Kong)2018
Trends in cervical disc arthroplasty and revisions in the Medicare database.
Article in Journal of spine surgery (Hong Kong), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Nationwide Comparison of 2 year Revision Surgery Risk After Hybrid Cervical Surgery with 2-Level ACDF and 2-Level CDR Surgical Technique.Global spine journal · 2026Article
- Primary Cervical Disc Arthroplasty Among Medicare Beneficiaries Versus Alternative Payers: Is It Time to Consider Nationwide Coverage?Global spine journal · 2024Article
- Single-level cervical disc replacement (CDR) versus anterior cervical discectomy and fusion (ACDF): A Nationwide matched analysis of complications, 30- and 90-day readmission rates, and cost.World neurosurgery: X · 2024Article
- Are Cervical Disc Arthroplasty Medicare Reimbursement Trends Sustainable?International journal of spine surgery · 2023Article
- Safety and Validity of Anterior Cervical Disc Replacement for Single-level Cervical Disc Disease: Initial Two-year Follow-up of the Prospective Observational Post-marketing Surveillance Study for Japanese Patients.Neurologia medico-chirurgica · 2022Observational
- Revision Anterior Cervical Disc Arthroplasty: A National Analysis of the Associated Indications, Procedures, and Postoperative Outcomes.Global spine journal · 2022Article
- Implant-related complications in patients with opioid use disorder undergoing primary shoulder arthroplasties: a matched-controlled analysis.Shoulder & elbow · 2022Article
- Impact of depressive disorders on primary total shoulder arthroplasties: a matched control analysis of 113,648 Medicare patients.Shoulder & elbow · 2021Article
- Trends in Primary Proximal Interphalangeal Joint System and Revisions for Osteoarthritis of the Hand in the Medicare Database.Hand (New York, N.Y.) · 2020Article
- Multilevel Cervical Disc Arthroplasty: Long-Term Outcomes at 3 and 4 Levels.International journal of spine surgery · 2020Article
- What is a better value for your time? Anterior cervical discectomy and fusion versus cervical disc arthroplasty.Journal of craniovertebral junction & spineArticle
- Cervical disc arthroplasty in Australia: An epidemiological study.Journal of craniovertebral junction & spineArticle
- Perioperative complications in patients with sleep apnea following primary total shoulder arthroplasty: An analysis of 33,366 patients.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to increased postoperative complications with anterior cervical discectomy and fusion (ACDF), there has been an increasing interest in the use of cervical disc arthroplasty (CDA). Advancements in prosthetic designs and techniques have improved patient reported outcome measurements and minimized revision rates. There is a paucity in the literature regarding recent trends in CDA utilization and revision rates. The purpose of this study was to determine annual primary and revision CDA trends with the use of an administrative database.
methodsA retrospective review from 2005-2014 was performed using the Medicare Standard Analytical Files from the PearlDiver supercomputer (PearlDiver Technologies, Fort Wayne, IN, USA). Patients who underwent primary CDA were queried using International Classification of Disease, ninth revision (ICD-9) and current procedural terminology (CPT) code 84.62 and 22856, respectively. Revision CDAs were queried using ICD-9 procedure code 84.66. Primary outcomes of this study included annual primary procedures, annual revision incidence (RI), and additional demographic data such as age, gender, geographic location, Charlson-Comorbidity Index (CCI); in addition to length of stay (LOS), cost, and reimbursement.
resultsThe query returned 2,016 and 517 primary CDA and revision CDA procedures were performed in the Medicare database, respectively. The data showed that the CAGR of primary and revision CDA procedures to be 20.54% and 5.84% (P<0.001), respectively. RI and RB demonstrated a CAGR of -12.22% and -9.61%, respectively. Patients younger than the age of 65 represented the majority of the patients undergoing this procedure. Demographically, primary and revision CDAs were found highest in the South.
conclusionsThe data demonstrates a high rate of annual growth in CDA utilization (20.54%) and revision CDA (5.84%), indicating there is an increase demand for CDA in the United States. Compared to ACDF, patients who undergo CDA have improved patient reported outcome measurements and lower rates of postoperative complications.
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