ArticleGlobal spine journal2020
Cost Analysis of Single-Level Lumbar Fusions.
Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed.
- Adoption outpaces reimbursement in navigation-assisted pediatric posterior spinal fusion.Spine deformity · 2026Article
- Association between self-reported mental health and resource utilization in patients undergoing elective lumbar fusion.North American Spine Society journal · 2026Article
- Bilateral Pedicle Screw Fixation Vs Unilateral Pedicle Screw Fixation for Single Level Lateral Lumbar Interbody Fusion: Outcomes, Cost Analysis, and Radiation Exposure.International journal of spine surgery · 2026Article
- Identifying patients at risk for a facility discharge following elective one or two level lumbar fusion.North American Spine Society journal · 2025Article
- Novel autograft bone harvesting device used in 232 consecutive patients who underwent cervical or lumbar fusion: initial experience, outcome, and cost analysis in a retrospective study.Journal of spine surgery (Hong Kong) · 2025Article
- Multimodal machine learning for risk-stratified bundled payments in spinal surgery.NPJ digital medicine · 2025Article
- Projections of single-level indirect lumbar interbody fusion volume and associated costs for Medicare patients to 2050.North American Spine Society journal · 2025Article
- Diabetes and heart disease do not affect short-term lumbar fusion outcomes accounting for other risk factors in a matched cohort analysis.World neurosurgery: X · 2024Article
- Evaluating osteoporosis and bone quality in the aging spine: modern considerations for surgical management in the geriatric population.GeroScience · 2024Review
- Risk analysis index predicts mortality and non-home discharge following posterior lumbar interbody fusion: a nationwide inpatient sample analysis of 429,380 patients (2019-2020).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Adhesive surface electrodes versus needle-based neuromonitoring in lumbar spinal surgery.Surgical neurology international · 2024Article
- Surgical Setting in Achilles Tendon Repair: How Does It Relate to Costs and Complications?Foot & ankle orthopaedics · 2023Article
- Index Surgery Cost of Fluoroscopic Freehand Versus Robotic-Assisted Pedicle Screw Placement in Lumbar Instrumentation: An Age, Sex, and Approach-Matched Cohort Comparison.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Expandable Lateral Lumbar Cages With Integrated Fixation: A Viable Option for Rostral Adjacent Segment Disease.International journal of spine surgery · 2022Article
- Injectable decellularized nucleus pulposus tissue exhibits neuroinhibitory properties.JOR spine · 2022Article
- A Pre-clinical Standard Operating Procedure for Evaluating Orthobiologics in anJournal of orthopaedics and sports medicine · 2022Article
- The association of transversus abdominis plane block with length of stay, pain and opioid consumption after anterior or lateral lumbar fusion: a retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- Spine Instrumented Surgery on a Budget-Tools for Lowering Cost Without Changing Outcome.Global spine journal · 2021Article
- Evaluation of factors driving cost variation for distal humerus open reduction internal fixation.JSES international · 2021Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designCost analysis of a retrospectively identified cohort of patients who had undergone primary single-level lumbar fusion at a single institution's orthopedic or neurosurgery department.
objectiveThe purpose of this article is to analyze the determinants of direct costs for single-level lumbar fusions and identify potential areas for cost reduction.
methodsAdult patients who underwent primary single-level lumbar fusion from fiscal years 2008 to 2012 were identified via administrative and departmental databases and were eligible for inclusion. Patients were excluded if they underwent multiple surgeries, had previous surgery at the same anatomic region, underwent corpectomy, kyphectomy, disc replacement, surgery for tumor or infection, or had incomplete cost data. Demographic data, surgical data, and direct cost data in the categories of supplies, services, room and care, and pharmacy, was collected for each patient.
resultsThe cohort included 532 patients. Direct costs ranged from $8286 to $73 727 (median = $21 781; mean = $22 890 ± $6323). Surgical approach was an important determinant of cost. The mean direct cost was highest for the circumferential approach and lowest for posterior instrumented spinal fusions without an interbody cage. The difference in mean direct cost between transforaminal lumbar interbody fusions, anterior lumbar interbody fusions, and lateral transpsoas fusions was not statistically significant. Surgical supplies accounted for 44% of direct costs. Spinal implants were the primary component of supply costs (84.9%). Services accounted for 38% of direct costs and were highly dependent on operative time. Comorbidities were an important contributor to variance in the cost of care as evidenced by high variance in pharmacy costs and length of stay related to their management.
conclusionThe costs of spinal surgeries are highly variable. Important cost drivers in our analysis included surgical approach, implants, operating room time, and length of hospital stay. Areas of high cost and high variance offer potential targets for cost savings and quality improvements.
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