Abstract
The cost-effectiveness of conventional discectomy compared to other surgical techniques for lumbar disk herniation. A systematic review
Highlights
Compared to many other spinal surgeries, diskectomy is a relatively inexpensive procedure, but radiculopathy due to lumbar intervertebral disk herniation is one of the most common spinal disorder requiring surgical intervention
The available literature does not allow for strong conclusions due to the sparsity of high quality economic studies
In Denmark, for instance, surgery for lumbar disk herniations may account for as much as one third of all lumbar spinal surgery [1] and while the direct costs can be estimated through the use of a national database [2], there is no simple way to estimate indirect costs related to sick-leave, lost production, etc
Summary
Compared to many other spinal surgeries, diskectomy is a relatively inexpensive procedure, but radiculopathy due to lumbar intervertebral disk herniation is one of the most common spinal disorder requiring surgical intervention. The relative cost effectiveness of different, competing surgical techniques is worthy of investigation, if limited resources are to be used rationally. The cost and frequency of disk surgery may differ between countries, but in general disk surgery is a relatively common intervention and direct costs are obviously significant, indirect costs are likely to be far more important. The current study reviews the literature on the cost-effectiveness of conventional diskectomy compared to other surgical techniques, by assessing studies with economical evaluation and studies using proxy measures of cost-effectiveness
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