Laminoplasty compared to laminectomy and fusion for degenerative cervical myelopathy: a cost-utility analysis
Both LP and LF can be cost-effective for DCM. While the base-case favored LF, probabilistic sensitivity analysis revealed no clear cost-utility advantage with comparable NMBs. Economic considerations alone should not drive surgical decision-making and treatment choice should be tailored to individual patient factors and local resource contexts.
Authors
- Christopher D. Witiw (ORCID: https://orcid.org/0000-0002-3999-7632)
- Yingshi He
- Christopher S. Lozano (ORCID: https://orcid.org/0000-0001-5405-8572)
- Vishwathsen Karthikeyan (ORCID: https://orcid.org/0000-0003-1340-4744)
- Abdullah Ishaque (ORCID: https://orcid.org/0000-0001-7938-9490)
- Michael George Fehlings (ORCID: https://orcid.org/0000-0002-5722-6364)
- Jefferson R. Wilson (ORCID: https://orcid.org/0000-0001-5965-0305)
- Jetan H. Badhiwala (ORCID: https://orcid.org/0000-0002-2528-1684)
- Jasleen Saini
- Husain Shakil (ORCID: https://orcid.org/0000-0003-3995-6811)
- Armaan Kush Malhotra (ORCID: https://orcid.org/0009-0001-1759-7160)
- Eva Y. Yuan
Institutions
- St. Michael's Hospital (CA)
- Sunnybrook Health Science Centre (CA)
- Toronto Western Hospital (CA)
- Canada Research Chairs (CA)
- Public Health Ontario (CA)
- Krembil Foundation (CA)
- Krembil Research Institute
Publication Details
- Journal
- North American Spine Society Journal (NASSJ)
- Published
- 2025-06-24
- DOI
- https://doi.org/10.1016/j.xnsj.2025.100753
- Citations
- 1
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 2.01