Cost of anterior versus posterior spinal instrumented fusion for thoracolumbar (Lenke V/VI) adolescent idiopathic scoliosis

While ASIF had significantly greater direct costs due to more postoperative ICU admissions and longer hospital LOS, exclusion of outliers resulted in similar average direct costs between approaches. ASIF saved one treated level on average. Number of implants, operating room services, ICU admissions and LOS are the principal drivers of cost.

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Publication Details

Journal
Spine Deformity
Published
2026-01-21
DOI
https://doi.org/10.1007/s43390-025-01272-z
Primary Topic
Scoliosis diagnosis and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Cost of anterior versus posterior spinal instrumented fusion for thoracolumbar (Lenke V/VI) adolescent idiopathic scoliosis

Monty Khela, Mohammad Diab, Alekos A Theologis
Spine Deformity
Scoliosis diagnosis and treatment
article

Cost of anterior versus posterior spinal instrumented fusion for thoracolumbar (Lenke V/VI) adolescent idiopathic scoliosis

Monty Khela, Mohammad Diab, Alekos A Theologis
article en

Abstract

While ASIF had significantly greater direct costs due to more postoperative ICU admissions and longer hospital LOS, exclusion of outliers resulted in similar average direct costs between approaches. ASIF saved one treated level on average. Number of implants, operating room services, ICU admissions and LOS are the principal drivers of cost.

Spine Deformity
Creighton University (US), University of California, San Francisco (US), University of San Francisco (US)
Openalex Percentile: Top 80%
Scoliosis diagnosis and treatment
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