메뉴 건너뛰기




Volumn 5, Issue , 2012, Pages 65-74

Economics of less invasive spinal surgery: An analysis of hospital cost differences between open and minimally invasive instrumented spinal fusion procedures during the perioperative period

Author keywords

Complications; Degenerative; Lumbar; MIS; Residual events

Indexed keywords

ADULT; ARTICLE; COMMUNITY HOSPITAL; CONTROLLED STUDY; COST CONTROL; FEMALE; HOSPITAL COST; HOSPITALIZATION; HUMAN; INFORMATION PROCESSING; LUMBAR SPINE; MAJOR CLINICAL STUDY; MALE; MINIMALLY INVASIVE SURGERY; OPEN SURGERY; OUTCOME ASSESSMENT; PERIOPERATIVE PERIOD; REGISTER; REOPERATION; SPINE DISEASE; SPINE FUSION; SPINE INSTABILITY; SURGERY; SURGICAL APPROACH; SURGICAL TECHNIQUE; TRANSFUSION;

EID: 84866063323     PISSN: None     EISSN: 11791594     Source Type: Journal    
DOI: 10.2147/RMHP.S30974     Document Type: Article
Times cited : (75)

References (43)
  • 1
    • 0026683235 scopus 로고
    • Patient outcomes after lumbar spinal fusions
    • Turner JA, Ersek M, Herron L, et al. Patient outcomes after lumbar spinal fusions. JAMA. 1992;268(7):907-911.
    • (1992) JAMA , vol.268 , Issue.7 , pp. 907-911
    • Turner, J.A.1    Ersek, M.2    Herron, L.3
  • 2
    • 34249830160 scopus 로고    scopus 로고
    • Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis
    • Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Engl J Med. 2007;356(22):2257-2270.
    • (2007) N Engl J Med , vol.356 , Issue.22 , pp. 2257-2270
    • Weinstein, J.N.1    Lurie, J.D.2    Tosteson, T.D.3
  • 3
    • 67649967683 scopus 로고    scopus 로고
    • Prevalence, complications, and hospital charges associated with use of bone-morphogenetic proteins in spinal fusion procedures
    • Cahill KS, Chi JH, Day A, et al. Prevalence, complications, and hospital charges associated with use of bone-morphogenetic proteins in spinal fusion procedures. JAMA. 2009;302(1):58-66.
    • (2009) JAMA , vol.302 , Issue.1 , pp. 58-66
    • Cahill, K.S.1    Chi, J.H.2    Day, A.3
  • 4
    • 0027268437 scopus 로고
    • Lumbar spinal fusion. A cohort study of complications, reoperations, and resource use in the Medicare population
    • Deyo RA, Ciol MA, Cherkin DC, et al. Lumbar spinal fusion. A cohort study of complications, reoperations, and resource use in the Medicare population. Spine. 1993;18(11):1463-1470.
    • (1993) Spine , vol.18 , Issue.11 , pp. 1463-1470
    • Deyo, R.A.1    Ciol, M.A.2    Cherkin, D.C.3
  • 5
    • 57849117381 scopus 로고    scopus 로고
    • Lumbar fusion outcomes stratified by specific diagnostic indication
    • Glassman SD, Carreon LY, Djurasovic M, et al. Lumbar fusion outcomes stratified by specific diagnostic indication. Spine J. 2009;9(1):13-21.
    • (2009) Spine J , vol.9 , Issue.1 , pp. 13-21
    • Glassman, S.D.1    Carreon, L.Y.2    Djurasovic, M.3
  • 6
    • 0031418965 scopus 로고    scopus 로고
    • Anterior lumbar interbody fusion. A minimum 10-year follow-up
    • Penta M, Fraser RD. Anterior lumbar interbody fusion. A minimum 10-year follow-up. Spine. 1997;22(20):2429-2434.
    • (1997) Spine , vol.22 , Issue.20 , pp. 2429-2434
    • Penta, M.1    Fraser, R.D.2
  • 7
    • 67649888508 scopus 로고    scopus 로고
    • Surgical compared with nonoperative treatment for lumbar degenerative spondylolisthesis. Four-year results in the Spine Patient Outcomes Research Trial (SPORT) randomized and observational cohorts
    • Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical compared with nonoperative treatment for lumbar degenerative spondylolisthesis. Four-year results in the Spine Patient Outcomes Research Trial (SPORT) randomized and observational cohorts. J Bone Joint Surg Am. 2009;91(6):1295-1304.
    • (2009) J Bone Joint Surg Am , vol.91 , Issue.6 , pp. 1295-1304
    • Weinstein, J.N.1    Lurie, J.D.2    Tosteson, T.D.3
  • 8
    • 77953948196 scopus 로고    scopus 로고
    • An analysis of the differences in the acute hospitalization charges following minimally invasive versus open posterior lumbar interbody fusion
    • Wang MY, Cummock MD, Yu Y, et al. An analysis of the differences in the acute hospitalization charges following minimally invasive versus open posterior lumbar interbody fusion. J Neurosurg Spine. 2010;12(6):694-699.
    • (2010) J Neurosurg Spine , vol.12 , Issue.6 , pp. 694-699
    • Wang, M.Y.1    Cummock, M.D.2    Yu, Y.3
  • 9
    • 84866086849 scopus 로고    scopus 로고
    • Direct economic impact of posterior minimally invasive compared to conventional open fusion procedures for lumbar spondylolisthesis
    • Gray R, Fehlings M, Massicotte E, et al. Direct economic impact of posterior minimally invasive compared to conventional open fusion procedures for lumbar spondylolisthesis. Spine J. 2009;9(10):48S.
    • (2009) Spine J , vol.9 , Issue.10
    • Gray, R.1    Fehlings, M.2    Massicotte, E.3
  • 10
    • 58849121894 scopus 로고    scopus 로고
    • Clinical and radiographic comparison of mini-open transforaminal lumbar interbody fusion with open transforaminal lumbar interbody fusion in 42 patients with long-term follow-up
    • Dhall SS, Wang MY, Mummaneni PV. Clinical and radiographic comparison of mini-open transforaminal lumbar interbody fusion with open transforaminal lumbar interbody fusion in 42 patients with long-term follow-up. J Neurosurg Spine. 2008;9(6):560-565.
    • (2008) J Neurosurg Spine , vol.9 , Issue.6 , pp. 560-565
    • Dhall, S.S.1    Wang, M.Y.2    Mummaneni, P.V.3
  • 11
    • 39049178388 scopus 로고    scopus 로고
    • Spine: Minimally invasive techniques
    • Gerszten PC, Welch WC. Spine: minimally invasive techniques. Prog Neurol Surg. 2006;19:135-151.
    • (2006) Prog Neurol Surg , vol.19 , pp. 135-151
    • Gerszten, P.C.1    Welch, W.C.2
  • 12
    • 77950477601 scopus 로고    scopus 로고
    • Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults
    • Deyo RA, Mirza SK, Martin BI, et al. Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA. 2010;303(13):1259-1265.
    • (2010) JAMA , vol.303 , Issue.13 , pp. 1259-1265
    • Deyo, R.A.1    Mirza, S.K.2    Martin, B.I.3
  • 13
    • 0027750744 scopus 로고
    • The effect of elective total hip replacement on health-related quality of life
    • Laupacis A, Bourne R, Rorabeck C, et al. The effect of elective total hip replacement on health-related quality of life. J Bone Joint Surg Am. 1993;75(11):1619-1626.
    • (1993) J Bone Joint Surg Am , vol.75 , Issue.11 , pp. 1619-1626
    • Laupacis, A.1    Bourne, R.2    Rorabeck, C.3
  • 14
    • 0030630928 scopus 로고    scopus 로고
    • Cost effectiveness of revision total knee replacement
    • Rorabeck CH, Murray P. Cost effectiveness of revision total knee replacement. Instr Course Lect. 1997;46:237-240.
    • (1997) Instr Course Lect , vol.46 , pp. 237-240
    • Rorabeck, C.H.1    Murray, P.2
  • 15
    • 0029919304 scopus 로고    scopus 로고
    • Cost-effectiveness of lumbar discectomy for the treatment of herniated intervertebral disc
    • Malter AD, Larson EB, Urban N, et al. Cost-effectiveness of lumbar discectomy for the treatment of herniated intervertebral disc. Spine. 1996;21(9):1048-1054.
    • (1996) Spine , vol.21 , Issue.9 , pp. 1048-1054
    • Malter, A.D.1    Larson, E.B.2    Urban, N.3
  • 16
    • 55449117709 scopus 로고    scopus 로고
    • The cost effectiveness of surgical versus nonoperative treatment for lumbar disc herniation over two years: Evidence from the Spine Patient Outcomes Research Trial (SPORT)
    • Tosteson AN, Skinner JS, Tosteson TD, et al. The cost effectiveness of surgical versus nonoperative treatment for lumbar disc herniation over two years: evidence from the Spine Patient Outcomes Research Trial (SPORT). Spine. 2008;33(19):2108-2115.
    • (2008) Spine , vol.33 , Issue.19 , pp. 2108-2115
    • Tosteson, A.N.1    Skinner, J.S.2    Tosteson, T.D.3
  • 17
    • 0034194420 scopus 로고    scopus 로고
    • Cost-effectiveness of fusion with and without instrumentation for patients with degenerative spondylolisthesis and spinal stenosis
    • Kuntz KM, Snider RK, Weinstein JN, et al. Cost-effectiveness of fusion with and without instrumentation for patients with degenerative spondylolisthesis and spinal stenosis. Spine. 2000;25(9):1132-1139.
    • (2000) Spine , vol.25 , Issue.9 , pp. 1132-1139
    • Kuntz, K.M.1    Snider, R.K.2    Weinstein, J.N.3
  • 18
    • 0026575912 scopus 로고
    • How attractive does a new technology have to be to warrant adoption and utilization? Tentative guidelines for using clinical and economic evaluations
    • Laupacis A, Feeny D, Detsky AS, et al. How attractive does a new technology have to be to warrant adoption and utilization? Tentative guidelines for using clinical and economic evaluations. CMAJ. 1992;146(4):473-481.
    • (1992) CMAJ , vol.146 , Issue.4 , pp. 473-481
    • Laupacis, A.1    Feeny, D.2    Detsky, A.S.3
  • 19
    • 84860337129 scopus 로고    scopus 로고
    • The cost effectiveness of single-level instrumented posterolateral lumbar fusion at five years after surgery
    • Glassman SD, Polly DW, Dimar JR, et al. The cost effectiveness of single-level instrumented posterolateral lumbar fusion at five years after surgery. Spine. 2012;37(9):769-774.
    • (2012) Spine , vol.37 , Issue.9 , pp. 769-774
    • Glassman, S.D.1    Polly, D.W.2    Dimar, J.R.3
  • 20
    • 58049198325 scopus 로고    scopus 로고
    • Surgical treatment of spinal stenosis with and without degenerative spondylolisthesis: Cost-effectiveness after 2 years
    • Tosteson AN, Lurie JD, Tosteson TD, et al. Surgical treatment of spinal stenosis with and without degenerative spondylolisthesis: cost-effectiveness after 2 years. Ann Intern Med. 2008;149(12):845-853.
    • (2008) Ann Intern Med , vol.149 , Issue.12 , pp. 845-853
    • Tosteson, A.N.1    Lurie, J.D.2    Tosteson, T.D.3
  • 22
    • 33749063617 scopus 로고    scopus 로고
    • Cost-utility analysis of routine neurosurgical spinal surgery
    • Rasanen P, Ohman J, Sintonen H, et al. Cost-utility analysis of routine neurosurgical spinal surgery. J Neurosurg Spine. 2006;5(3):204-209.
    • (2006) J Neurosurg Spine , vol.5 , Issue.3 , pp. 204-209
    • Rasanen, P.1    Ohman, J.2    Sintonen, H.3
  • 23
    • 0027251747 scopus 로고
    • Tentative guidelines for using clinical and economic evaluations revisited
    • Laupacis A, Feeny D, Detsky AS, et al. Tentative guidelines for using clinical and economic evaluations revisited. CMAJ. 1993;148(6):927-929.
    • (1993) CMAJ , vol.148 , Issue.6 , pp. 927-929
    • Laupacis, A.1    Feeny, D.2    Detsky, A.S.3
  • 24
    • 77952381838 scopus 로고    scopus 로고
    • Early complications of extreme lateral interbody fusion in the obese
    • Rodgers WB, Cox CS, Gerber EJ. Early complications of extreme lateral interbody fusion in the obese. J Spinal Disord Tech. 2010;23(6):393-397.
    • (2010) J Spinal Disord Tech , vol.23 , Issue.6 , pp. 393-397
    • Rodgers, W.B.1    Cox, C.S.2    Gerber, E.J.3
  • 25
    • 77952355923 scopus 로고    scopus 로고
    • Experience and early results with a minimally invasive technique for anterior column support through extreme lateral interbody fusion (XLIF®)
    • Rodgers WB, Cox CS, Gerber EJ. Experience and early results with a minimally invasive technique for anterior column support through extreme lateral interbody fusion (XLIF®). US Musculoskeletal Review. 2007;(1):28-32.
    • (2007) US Musculoskeletal Review , Issue.1 , pp. 28-32
    • Rodgers, W.B.1    Cox, C.S.2    Gerber, E.J.3
  • 26
    • 77952346124 scopus 로고    scopus 로고
    • Fusion after minimally disruptive anterior lumbar interbody fusion: Analysis of extreme lateral interbody fusion by computed tomography
    • Rodgers WB, Gerber EJ, Patterson JR. Fusion after minimally disruptive anterior lumbar interbody fusion: analysis of extreme lateral interbody fusion by computed tomography. SAS J. 2010;4(2):63-66.
    • (2010) SAS J , vol.4 , Issue.2 , pp. 63-66
    • Rodgers, W.B.1    Gerber, E.J.2    Patterson, J.R.3
  • 28
    • 78650938004 scopus 로고    scopus 로고
    • Lumbar fusion in octogenarians: The promise of minimally invasive surgery
    • Rodgers, WB, Gerber, EJ., Rodgers, JA. Lumbar fusion in octogenarians: The promise of minimally invasive surgery. Spine. 2010;35(26S):S355-S360.
    • (2010) Spine , vol.35 , Issue.26 S
    • Rodgers, W.B.1    Gerber, E.J.2    Rodgers, J.A.3
  • 30
    • 78751550799 scopus 로고    scopus 로고
    • Intraoperative and early postoperative complications in extreme lateral interbody fusion (XLIF): An analysis of 600 cases
    • Rodgers WB, Gerber EJ, Patterson JR. Intraoperative and early postoperative complications in extreme lateral interbody fusion (XLIF): An analysis of 600 cases. Spine. 2011;36(1):26-32.
    • (2011) Spine , vol.36 , Issue.1 , pp. 26-32
    • Rodgers, W.B.1    Gerber, E.J.2    Patterson, J.R.3
  • 31
    • 77952358960 scopus 로고    scopus 로고
    • Minimally invasive treatment (XLIF) of adjacent segment disease after prior lumbar fusions
    • Accessed April 21, 2012., [about 6p.], Available from
    • Rodgers WB, Cox CS, Gerber EJ. Minimally invasive treatment (XLIF) of adjacent segment disease after prior lumbar fusions. The Internet Journal of Minimally Invasive Spinal Technology [serial on the Internet]. 2009;3(4):[about 6p.]. Available from: http://www.ispub.com/journal/the-internet-journal-of-minimally-invasive-spinal-technology/volume-3-number-4/minimally-invasive-treatment-xlif-of-adjacent-segment-disease-after-prior-lumbar-fusions.html. Accessed April 21, 2012.
    • (2009) The Internet Journal of Minimally Invasive Spinal Technology [serial on the Internet] , vol.3 , Issue.4
    • Rodgers, W.B.1    Cox, C.S.2    Gerber, E.J.3
  • 32
    • 77951767343 scopus 로고    scopus 로고
    • Do no harm: The balance of "beneficence" and "non-maleficence"
    • Andersson GB, Chapman JR, Dekutoski MB, et al. Do no harm: the balance of "beneficence" and "non-maleficence". Spine. 2010;35(Suppl 9):S2-S8.
    • (2010) Spine , vol.35 , Issue.SUPPL. 9
    • Andersson, G.B.1    Chapman, J.R.2    Dekutoski, M.B.3
  • 33
    • 69749114074 scopus 로고    scopus 로고
    • National complication rates and disposition after posterior lumbar fusion for acquired spondylolisthesis
    • Kalanithi PS, Patil CG, Boakye M. National complication rates and disposition after posterior lumbar fusion for acquired spondylolisthesis. Spine. 2009;34(18):1963-1969.
    • (2009) Spine , vol.34 , Issue.18 , pp. 1963-1969
    • Kalanithi, P.S.1    Patil, C.G.2    Boakye, M.3
  • 34
    • 33644847761 scopus 로고    scopus 로고
    • Association of postoperative complications with hospital costs and length of stay in a tertiary care center
    • Khan NA, Quan H, Bugar JM, et al. Association of postoperative complications with hospital costs and length of stay in a tertiary care center. J Gen Intern Med. 2006;21(2):177-180.
    • (2006) J Gen Intern Med , vol.21 , Issue.2 , pp. 177-180
    • Khan, N.A.1    Quan, H.2    Bugar, J.M.3
  • 35
    • 77951768608 scopus 로고    scopus 로고
    • Surgeon perceptions and reported complications in spine surgery
    • Dekutoski MB, Norvell DC, Dettori JR, et al. Surgeon perceptions and reported complications in spine surgery. Spine. 2010;35(Suppl 9):S9-S21.
    • (2010) Spine , vol.35 , Issue.SUPPL. 9
    • Dekutoski, M.B.1    Norvell, D.C.2    Dettori, J.R.3
  • 36
    • 77951768502 scopus 로고    scopus 로고
    • Methods for the systematic reviews on patient safety during spine surgery
    • Dettori JR, Norvell DC, Dekutoski M, et al. Methods for the systematic reviews on patient safety during spine surgery. Spine. 2010;35(Suppl 9):S22-S27.
    • (2010) Spine , vol.35 , Issue.SUPPL. 9
    • Dettori, J.R.1    Norvell, D.C.2    Dekutoski, M.3
  • 37
    • 77951766184 scopus 로고    scopus 로고
    • Blood loss in major spine surgery: Are there effective measures to decrease massive hemorrhage in major spine fusion surgery?
    • Elgafy H, Bransford RJ, McGuire RA, et al. Blood loss in major spine surgery: are there effective measures to decrease massive hemorrhage in major spine fusion surgery? Spine. 2010;35(Suppl 9):S47-S56.
    • (2010) Spine , vol.35 , Issue.SUPPL. 9
    • Elgafy, H.1    Bransford, R.J.2    McGuire, R.A.3
  • 38
    • 33745096241 scopus 로고    scopus 로고
    • Intraoperative adverse events and related postoperative complications in spine surgery: Implications for enhancing patient safety founded on evidence-based protocols
    • Rampersaud YR, Moro ER, Neary MA, et al. Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Spine. 2006;31(13):1503-1510.
    • (2006) Spine , vol.31 , Issue.13 , pp. 1503-1510
    • Rampersaud, Y.R.1    Moro, E.R.2    Neary, M.A.3
  • 39
    • 77951765525 scopus 로고    scopus 로고
    • The influence of perioperative risk factors and therapeutic interventions on infection rates after spine surgery: A systematic review
    • Schuster JM, Rechtine G, Norvell DC, et al. The influence of perioperative risk factors and therapeutic interventions on infection rates after spine surgery: a systematic review. Spine. 2010;35(Suppl 9):S125-S137.
    • (2010) Spine , vol.35 , Issue.SUPPL. 9
    • Schuster, J.M.1    Rechtine, G.2    Norvell, D.C.3
  • 40
    • 70349639625 scopus 로고    scopus 로고
    • Surgical site infection rates after minimally invasive spinal surgery
    • O'Toole JE, Eichholz KM, Fessler RG. Surgical site infection rates after minimally invasive spinal surgery. J Neurosurg Spine. 2009;11(4):471-476.
    • (2009) J Neurosurg Spine , vol.11 , Issue.4 , pp. 471-476
    • O'Toole, J.E.1    Eichholz, K.M.2    Fessler, R.G.3
  • 41
    • 0033856539 scopus 로고    scopus 로고
    • Length of stay has minimal impact on the cost of hospital admission
    • Taheri PA, Butz DA, Greenfield LJ. Length of stay has minimal impact on the cost of hospital admission. J Am Coll Surg. 2000;191(2): 123-130.
    • (2000) J Am Coll Surg , vol.191 , Issue.2 , pp. 123-130
    • Taheri, P.A.1    Butz, D.A.2    Greenfield, L.J.3
  • 42
    • 84866129420 scopus 로고    scopus 로고
    • Accessed on March 2010., [Thomson Reuters]. March Available from
    • Pickens G. About 50% of hospitals in the red for Q3, profit margin falling. [Thomson Reuters]. March 2010; Available from: http://www.reuters.com/article/2009/08/19/us-hospitals-usa-idUSTRE57I0IS20090819. Accessed on March 2010.
    • (2010) About 50% of hospitals in the red for Q3, profit margin falling
    • Pickens, G.1
  • 43
    • 77952505634 scopus 로고    scopus 로고
    • Editorial: Value and cost in less invasive spinal fusion surgery: Lessons from a community hospital
    • Deluzio KJ, Lucio JC, Rodgers WB. Editorial: Value and cost in less invasive spinal fusion surgery: lessons from a community hospital. SAS J. 2010;4(2):37-40.
    • (2010) SAS J , vol.4 , Issue.2 , pp. 37-40
    • Deluzio, K.J.1    Lucio, J.C.2    Rodgers, W.B.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.