Clinical Spine Surgery published a study investigating the clinical outcomes and cost utility of anterior cervical discectomy and fusion for treating adjacent segment disease.
Researchers reviewed 40 ASD patients undergoing ACDF, measuring baseline and two-year neck and arm pain, neck disability index, physical quality of life, mental quality of life and Zung depression score.
Here are five key points:
1. ACDF improved ASD patients' neck and arm pain, physical and mental quality of life, NDI and ZDS outcome measurements.
2. These patients also demonstrated improved patient-reported health states; researchers found a two-year gain of 0.54 QALYs.
3. Researchers found ACDF's mean two-year cost totaled $32,616 in the study.
4. The surgery for ASD had a mean two-year cost per QALY gain of $60,526.
5. Researchers concluded ACDF surgical intervention for ASD patients is cost effective and clinically effective.