Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3: Assessment of economic outcome

Zoher Ghogawala, Robert G. Whitmore, William C. Watters, Alok Sharan, Praveen V. Mummaneni, Andrew T. Dailey, Tanvir F. Choudhri, Jason C. Eck, Michael W. Groff, Jeffrey C. Wang, Daniel K. Resnick, Sanjay S. Dhall, Michael G. Kaiser

Research output: Contribution to journalArticle

12 Scopus citations


A comprehensive economic analysis generally involves the calculation of indirect and direct health costs from a societal perspective as opposed to simply reporting costs from a hospital or payer perspective. Hospital charges for a surgical procedure must be converted to cost data when performing a cost-effectiveness analysis. Once cost data has been calculated, quality-adjusted life year data from a surgical treatment are calculated by using a preference-based health-related quality-of-life instrument such as the EQ-5D. A recent cost-utility analysis from a single study has demonstrated the long-term (over an 8-year time period) benefits of circumferential fusions over stand-alone posterolateral fusions. In addition, economic analysis from a single study has found that lumbar fusion for selected patients with low-back pain can be recommended from an economic perspective. Recent economic analysis, from a single study, finds that femoral ring allograft might be more cost-effective compared with a specific titanium cage when performing an anterior lumbar interbody fusion plus posterolateral fusion.

Original languageEnglish (US)
Pages (from-to)14-22
Number of pages9
JournalJournal of Neurosurgery: Spine
Issue number1
Publication statusPublished - Jul 2014



  • Cost-effectiveness
  • Fusion
  • Lumbar spine
  • Outcomes
  • Practice guidelines

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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