Do Anterior-Posterior Lumbar Fusions Provide More Short-Term Value Than Posterior-Only? An Application of the Operative Value Index
We provide a novel "value" metric that integrates granular costing methodology with prospectively collected patient-reported outcomes. Although AP fusions incur significantly greater cost than posterior-only fusions, there was no significant "value" difference between the two modalities when accounting for confounders.
Authors
- D. Mitchell Self
- Steven Glener
- Jack Jallo (ORCID: https://orcid.org/0000-0002-5512-1729)
- Joshua Heller (ORCID: https://orcid.org/0000-0003-3403-2556)
- James S. Harrop (ORCID: https://orcid.org/0000-0002-0943-3406)
- Danyal Quraishi (ORCID: https://orcid.org/0000-0002-4180-6049)
- Ashmal Sami Kabani (ORCID: https://orcid.org/0009-0000-0521-9587)
- Arbaz A. Momin (ORCID: https://orcid.org/0000-0003-1076-2933)
- Srinivas Prasad (ORCID: https://orcid.org/0000-0003-4529-6143)
- Ashwini Sharan (ORCID: https://orcid.org/0000-0002-4759-6097)
- Advith Sarikonda (ORCID: https://orcid.org/0009-0002-7138-4331)
- Emily Isch
- Nicholas J. Clark (ORCID: https://orcid.org/0000-0003-2111-7032)
- Ahilan Sivaganesan
- Alexander R. Vaccaro
- Cheritesh Amaravadi
Institutions
- Thomas Jefferson University (US)
- Naples Community Hospital Healthcare System (US)
- Rothman Orthopaedics (US)
- Neurological Surgery (US)
- Drexel University (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-06-27
- DOI
- https://doi.org/10.1016/j.wneu.2025.124139
- Citations
- 1
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 1.47