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CDR and ACDF similarly cost-effective in the treatment of DDD

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CDR and ACDF similarly cost-effective in the treatment of DDD .

This report has been verified by one or more authors of the original publication.

Health state utility of patients with single-level cervical degenerative disc disease: comparison of anterior cervical discectomy and fusion with cervical disc arthroplasty

J Neurosurg Spine. 2014 May;20(5):475-9

Contributing Authors

S Qureshi V Goz S McAnany SK Cho AC Hecht RB Delamarter MG Fehlings

209 patients with cervical radiculopathy due to single level cervical degenerative disc disease (DDD) were randomized to undergo cervical arthroplasty (CDR) or anterior cervical discectomy and fusion (ACDF) in a previous investigational device exemption (IDE) trial. A cost-effectiveness analysis (CEA) was performed on data from the previous trial to discern the most cost-efficient treatment for cervical DDD. Cost effectiveness was based on Short-Form 36 (SF-36) data collected from the original trial. Health State Utility was calculated based on SF-36 data collected over 2 years. The evidence presented in this study demonstrated that both cervical arthroplasty (CDR) and anterior cervical discectomy and fusion (ACDF) incurred comparable costs in the treatment of degenerative disc disease.

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