Evidence map›Paper›PMID 42029437›Full record

ArticleJournal of market access & health policy2026

Cost-Effectiveness of 3D-Printed Patient-Specific Versus Off-the-Shelf Interbody Cages in Lumbar Spinal Fusion: A Markov Model Cost-Utility Analysis.

Jackson C Hill, Ralph J Mobbs, Marc Coughlan, Kevin A Seex, Chloe A Amaro, William R Walsh, William C H Parr

Abstract read
In one paragraph

Article in Journal of market access & health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jackson C Hill3DMorphic Pty Ltd., Matraville, NSW 2036, Australia.ORCID 0009-0004-5418-1019
Ralph J MobbsNeuro Spine Clinic, Prince of Wales Private Hospital, Randwick, NSW 2031, Australia.ORCID 0000-0001-6542-6836
Marc CoughlanCoastal Neurosurgery, Gosford Private Hospital, Gosford, NSW 2250, Australia.
Kevin A SeexMacquarie Neurosurgery, Macquarie University Hospital, Macquarie Park, Sydney, NSW 2109, Australia.ORCID 0000-0002-0051-8323
Chloe A Amaro3DMorphic Pty Ltd., Matraville, NSW 2036, Australia.ORCID 0009-0002-1025-7590
William R WalshSurgical and Orthopaedic Research Laboratories (SORL), Prince of Wales Clinical School, University of New South Wales (UNSW) Faculty of Medicine, Randwick, NSW 2031, Australia.ORCID 0000-0002-5023-6148
William C H Parr3DMorphic Pty Ltd., Matraville, NSW 2036, Australia.

Funding

MTPConnect BMTH Project Round: Four
6 · The paper itself

Abstract

The aim of the present study was to compare the cost-effectiveness of 3DMorphic's spinal 3DFusion Lumbar (3DFL) cages versus Off-The-Shelf (OTS) cages for patients undergoing lumbar interbody fusion in an Australian healthcare setting. 3DFL cages differ from generic OTS cages in that they are Patient-Specific Interbody Cages (PSICs). While several studies have discussed the clinical benefits of PSIC versus OTS cages, no studies have evaluated the cost-effectiveness of this technology. Without a direct randomised controlled trial between the two implant categories, an indirect treatment comparison was performed. The indirect comparison was informed by a clinical trial of 3DFL cages, the Australian Spine Registry and an analysis of reoperation rates for patients undergoing spinal fusion in an Australian cohort. In conclusion, the PSICs were demonstrated to be clinically superior to OTS cages as measured by Health Related Quality of Life (HRQoL) and reoperation rates. The cost-utility analysis demonstrated that 3DFL cages were cost-effective compared to OTS cages in an Australian healthcare setting.

Indexed as

3D printingcost-effectivenesscost-utility analysisLumbar Interbody FusionPatient Specific Implantreoperation ratespinal fusion

Identifiers

PMID42029437
PMCPMC13108168

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.