Cervical Disc Arthroplasty Tops ACDF for Single-Level Cervical Dz

Share this content:
Cervical Disc Arthroplasty Tops ACDF for Single-Level Cervical Dz
Cervical Disc Arthroplasty Tops ACDF for Single-Level Cervical Dz

WEDNESDAY, April 15, 2015 (HealthDay News) -- For patients with single-level symptomatic cervical disc disease, cervical disc arthroplasty (CDA) is associated with lower readmission rates, lower reoperation rates, and reduced costs compared with anterior cervical discectomy and fusion (ACDF), according to research published in the April 15 issue of Spine.

Kris Radcliff, M.D., from the Thomas Jefferson University in Philadelphia, and colleagues conducted a retrospective analysis of a prospectively collected database of costs and outcomes for patients with single-level symptomatic cervical disc disease, aged 18 to 60 years, treated with CDA or ACDF. Data were included for 6,635 ACDF patients and 327 CDA patients.

The researchers observed no significant between-group differences in the incidence of comorbidities or mean follow-up time. The reoperation rate was significantly increased in the ACDF versus CDA group by 36 months postoperatively (10.5 versus 5.7 percent; hazard ratio, 0.0214). The CDA group had significantly lower index surgery and 90-day global window costs. In CDA patients there was a statistically significant reduction in total costs paid by insurer ($34,979, versus $39,820 for ACDF) at final follow-up.

"CDA was effective in reducing the monthly cost of care compared with ACDF," the authors write.

Relevant financial activities outside the submitted work were disclosed: consultancy, royalties, meeting expenses, employment.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Bayer Stops U.S. Sale of Essure Birth Control Implant

Bayer Stops U.S. Sale of Essure Birth Control ...

Problems with device include chronic pain and perforations of the uterus and fallopian tubes

C.S. Mott Poll Addresses Child Safety at Amusement Parks

C.S. Mott Poll Addresses Child Safety at Amusement ...

2016 saw U.S. emergency departments deal with 30,000 injuries linked to amusement parks, carnivals

Greening Vacant Land Improves Neighborhood Mental Health

Greening Vacant Land Improves Neighborhood Mental Health

Cleaning up vacant lots in resource-limited urban settings can aid residents' mental health

is free, fast, and customized just for you!




Already a member?

Sign In Now »