Cost and Value of Spinal Deformity Surgery

Abstract

N/A.

Three-column osteotomies of the lower cervical and upper thoracic spine: comparison of early outcomes, radiographic parameters, and peri-operative complications in 48 patients

“…Three-column osteotomies are proven techniques to restore sagittal alignment and improve quality of life in adults with thoracolumbar spinal deformity [14,15]. Understanding of their effectiveness and safety when used around the CTJ is limited to small, heterogeneous case series [6,9,10,13].…”

Local Intrawound Vancomycin Powder Decreases the Risk of Surgical Site Infections in Complex Adult Deformity Reconstruction

“…Surgical correction of disabling adult spinal deformity is a cost-effective and valuable intervention because it results in a better quality of life than nonoperative treatment. 20 However, rates of SSI after adult spinal deformity surgery are high and pose a major source of morbidity and fi nancial burden to each patient and the health care system. This study demonstrates for the fi rst time that in complex thoracolumbar spinal deformity procedures vancomycin powder applied to the surgical wound is a highly valuable adjuvant therapy for the prevention of SSI.…”

Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial

“…Both surgical and non-surgical options exist, but previous studies have stated the superiority of operative over conservative treatments in AS, leading to better healthrelated quality of life (HRQoL), pain, walking abilities, and radiological findings [6][7][8]. However, surgical options should be reserved to subjects with chronic back pain unresponsive to conservative treatment, neurological signs and those with high risk of curve progression [1,9,10]; relevant costs and complications should also be considered when surgical decisions are being made [11,12]. Attention should otherwise be directed towards conservative treatments when mild or moderate curves [13] are present, especially when subjects seek clinicians' help due to chronic symptoms and disability [14,15].…”