A cost-consequence analysis comparing spinal fusion and decompression with decompression alone in the treatment of degenerative spondylolisthesis
Fusion and decompression was more costly than decompression alone. The PROMs were similar postoperatively in the two groups despite differences at baseline. Thus, fusion and decompression for most patients with lumbar degenerative sponylolisthesis would seem not to be justified financially, and future work is required to determine the baseline characteristics of the patients which would justify the increased costs.
Authors
- R Charest-Morin
- Yoga Raja Rampersaud (ORCID: https://orcid.org/0000-0002-2521-5900)
- Prosper Koto (ORCID: https://orcid.org/0000-0002-6126-6756)
- Jennifer Urquhart (ORCID: https://orcid.org/0000-0002-9393-814X)
- Neil A. Manson (ORCID: https://orcid.org/0000-0003-4627-6443)
- Troy Hillier
- Christopher S. Bailey (ORCID: https://orcid.org/0000-0001-5508-8415)
- Charles G. Fisher (ORCID: https://orcid.org/0000-0003-0374-2854)
- Ken Thomas
- Andrew Glennie (ORCID: https://orcid.org/0000-0002-7548-1334)
- John Street (ORCID: https://orcid.org/0000-0002-4223-4003)
- Edward Abraham (ORCID: https://orcid.org/0000-0003-4445-5798)
- Nicolas Dea
Institutions
- Western University (CA)
- Dalhousie University (CA)
- University of British Columbia (CA)
- University of Calgary (CA)
- University of Toronto (CA)
- Saint John Regional Hospital (CA)
- Nova Scotia Health Authority (CA)
- Vancouver Spine Surgery Institute (CA)
Publication Details
- Journal
- The Bone & Joint Journal
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1302/0301-620x.107b12.bjj-2025-0219.r1
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00