Treatment of cervical radiculopathy: A review of the evolution and economics

Jared Ament, Tejas Karnati, Edwin Kulubya, Kee D Kim, J. Johnson

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background: The surgical treatment of cervical radiculopathy has centered around anterior cervical discectomy and fusion (ACDF). Alternatively, the posterior cervical laminoforaminotomy/microdiscectomy (PCF/PCM), which results in comparable outcomes and is more cost-effective, has been underutilized. Methods: Here, we compared the direct/indirect costs, reoperation rates, and outcome for ACDF and PCF vs. PCM using PubMed, Medline, and Embase databases. Results: There were no significant differences between the re-operative rates of PCF/PCM (2% to 9.8%) versus ACDF (2% to 8%). Direct costs of ACDF were also significantly higher; the 1-year cost-utility analysis demonstrated that ACDF had $131,951/QALY while PCM had $79,856/QALY. Conclusion: PCF/PCM for radiculopathy are safe and more cost-effective vs. ACDF, and have similar clinical outcomes.

Original languageEnglish (US)
Article number35
JournalSurgical Neurology International
Volume9
Issue number1
DOIs
StatePublished - Jan 1 2018

Keywords

  • Cervical degenerative disc disease
  • cervical disc herniation
  • cost-effectiveness
  • posterior approach
  • posterior cervical microdiscectomy
  • quality of life

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Treatment of cervical radiculopathy: A review of the evolution and economics'. Together they form a unique fingerprint.

  • Cite this