Cost analysis for patients with adult spinal deformity by surgical approach and technique: A systematic review of the literature

Complex ASD procedures observed higher index and two-year costs than TLIF or PO approaches, with cost-per-QALY ratios showing no clear benefit for higher-cost techniques. These findings are limited by heterogenous cost definitions and sparse utility data, warranting cautious interpretation and underscore the need for prospective, standardized cost-effectiveness studies with extended follow-up.

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Publication Details

Journal
Journal of Orthopaedics
Published
2025-12-23
DOI
https://doi.org/10.1016/j.jor.2025.12.059
Primary Topic
Scoliosis diagnosis and treatment
Type
article
Field-Weighted Citation Impact
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article

Cost analysis for patients with adult spinal deformity by surgical approach and technique: A systematic review of the literature

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Journal of Orthopaedics
Scoliosis diagnosis and treatment
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Cost analysis for patients with adult spinal deformity by surgical approach and technique: A systematic review of the literature

Jessica Vitrano, Grayson M. Talaski, Dalton J. McGlamery, Omkar Anaspure, Anthony N. Baumann, Keegan T. Conry, Gordon Preston, Nicholas I. Chiaramonti, Jacob C. Hoffmann
article en

Abstract

Complex ASD procedures observed higher index and two-year costs than TLIF or PO approaches, with cost-per-QALY ratios showing no clear benefit for higher-cost techniques. These findings are limited by heterogenous cost definitions and sparse utility data, warranting cautious interpretation and underscore the need for prospective, standardized cost-effectiveness studies with extended follow-up.

Journal of OrthopaedicsVol. 73
University of Iowa (US), Cleveland Clinic (US), Central Michigan University (US), Ohio University (US), Cleveland Clinic Akron General (US), University of Pennsylvania (US), Northeast Ohio Medical University (US)
Openalex Percentile: Top 27%
Scoliosis diagnosis and treatment
DOIOpen Access PDFOpenAlex
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