The incidence and cost of devices explanted during single-level anterior diskectomy/fusions
2011

Costs of Devices Removed During Anterior Diskectomy and Fusion Surgery

Sample size: 87 publication Evidence: moderate

Author Information

Author(s): Nancy E. Epstein, Garry S. Schwall, Donald C. Hood

Primary Institution: The Albert Einstein College of Medicine

Hypothesis

What are the costs associated with devices explanted during anterior cervical diskectomy and fusion surgery?

Conclusion

The study found that 27.6% of patients had devices explanted, adding an additional cost of $32,850 to the hospital.

Supporting Evidence

  • 37 screws, 7 plates, and 8 spacers were explanted in 24 patients.
  • The total cost of the explanted devices was $32,850.
  • Explantation occurred in 27.6% of the cases.
  • The additional costs from explantation were 9.2% of the total cost of implanted devices.

Takeaway

In some surgeries, doctors have to take out devices they put in, which can cost a lot of extra money.

Methodology

The study analyzed costs of devices used in 87 single-level anterior diskectomy and fusion procedures performed in 2009.

Limitations

The study did not include outcome data related to the explantation of devices.

Participant Demographics

Patients from all diagnosis related group categories undergoing single-ADF were included.

Digital Object Identifier (DOI)

10.4103/2152-7806.77033

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