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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Analysis of vertebral augmentation practice patterns: a 2016 update.

Joshua A Hirsch¹, Ronil V Chandra², Vidsysagar Pampati³

¹Neuroendovascular Program and NeuroInterventional Spine Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Journal of Neurointerventional Surgery

|November 2, 2016

Summary

This summary is machine-generated.

Vertebroplasty and kyphoplasty utilization declined significantly in US Medicare fee-for-service (FFS) beneficiaries from 2004 to 2014. This study analyzes trends in these spinal augmentation procedures over a decade.

Keywords:

Malignant Spine

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Published on: September 16, 2022

Area of Science:

Spinal surgery
Medical economics
Health services research

Background:

Vertebroplasty and kyphoplasty are common procedures for vertebral compression fractures.
Understanding utilization trends is crucial for healthcare resource allocation and policy development.

Purpose of the Study:

To evaluate procedure utilization patterns for vertebroplasty and kyphoplasty.
To analyze trends in the US Medicare fee-for-service (FFS) population between 2004 and 2014.

Main Methods:

Analysis of Centers for Medicare and Medicaid Services (CMS) specialty utilization files.
Inclusion of fee-for-service (FFS) Medicare beneficiaries from 2004 to 2014.

Main Results:

Vertebroplasty utilization decreased by 63% (9.5% annually).
Kyphoplasty utilization decreased by 10% (1.3% annually).
Overall spinal augmentation saw a 32% decline (4.8% annually). Radiologists performed most vertebroplasties; orthopedic surgeons and neurosurgeons performed most kyphoplasties.

Conclusions:

Significant decline observed in both vertebroplasty and kyphoplasty procedures.
These trends indicate a substantial shift in spinal augmentation practice within the Medicare FFS population over the study period.