title: A cost analysis of two anterior cervical fusion procedures.
abstract: Multilevel anterior cervical discectomy and fusion (ACDF) remains a difficult problem. A recently described surgical technique for multilevel ACDF has eliminated the morbid complications associated with harvesting iliac crest bone graft (ICBG) while maintaining the advantages of using autologous bone graft. A matched-pairs t test was used to compare the estimated costs of 27 ACDFs using titanium surgical mesh, local autologous bone graft, and anterior plate instrumentation with 27 ACDFs using ICBG and plate fixation. The three variables considered were cage cost, operating time (cost), and hospitalization cost. The estimated costs for the two surgical procedures were not significantly different. Thus, the time saved by not harvesting an ICBG was comparable to the cost of the cage. Harvesting ICBG also increased the morbidity rate by 22%.
authors.affiliation: Spine Surgery, PSC, Louisville, Kentucky 40202, USA.
authors.forename: F P
authors.initials: FP
authors.lastname: Castro
authors.forename: R T
authors.initials: RT
authors.lastname: Holt
authors.forename: M
authors.initials: M
authors.lastname: Majd
authors.forename: T S
authors.initials: TS
authors.lastname: Whitecloud
mesh_terms: D016025:Bone Transplantation / Q000191:economics; D002574:Cervical Vertebrae / Q000601:surgery*; D003362:Cost-Benefit Analysis; D017586:Diskectomy / Q000191:economics*; D005260:Female; D006801:Humans; D016268:Internal Fixators / Q000191:economics; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000191:economics; D019736:Prostheses and Implants / Q000191:economics; D013123:Spinal Fusion / Q000191:economics*