Surgical treatment of spinal stenosis with and without degenerative spondylolisthesis: cost-effectiveness after 2 years.

Nov 16, 2011 by

Tosteson AN, Lurie JD, Tosteson TD, et al.

Ann Intern Med.  2008; 149: 845-853.

PMID: 19075203

This SPORT report on cost-effectiveness found that, compared to non-operative treatment, decompression alone was cost-effective in 100% of stenosis samples and 92% of spondylolisthesis samples, while fusion was cost-effective in only 17% of stenosis samples and only 8% (18%?) of spondylolisthesis samples.  This paper has substantial implications for healthcare policy.

web:  http://www.annals.org/content/149/12/845.full.pdf

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