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Updated: Jan 23, 2026
08:34
Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
Published on: October 17, 2025
453
Economic Value in Minimally Invasive Spine Surgery
Benjamin Hopkins1, Aditya Mazmudar2, Kartik Kesavabhotla1
1Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Current Reviews in Musculoskeletal Medicine
|June 26, 2019
Summary
Minimally invasive spine surgery (MIS) shows potential for economic value with cost savings and improved outcomes. However, more high-quality studies are needed to definitively establish its value in healthcare.
Area of Science:
- Spine surgery
- Health economics
- Medical technology assessment
Background:
- Spine surgery is transitioning to value-based care.
- Minimally invasive surgery (MIS) may increase healthcare costs.
- Economic evaluation of MIS is crucial for demonstrating value.
Purpose of the Study:
- Review recent literature on minimally invasive spine surgery (MIS) from an economic value perspective.
- Evaluate the cost-effectiveness and outcomes of MIS compared to traditional open surgery.
Main Methods:
- Systematic review of recent MIS surgery literature.
- Analysis of studies reporting cost savings, procedural costs, and patient outcomes.
- Assessment of research quality and methodological heterogeneity.
Main Results:
- Studies indicate modest cost savings and equivalent procedural costs for MIS.
- MIS is associated with reduced blood loss, shorter hospital stays, and fewer infections.
- Evidence on quality-adjusted life years (QALYs) for MIS is mixed.
- Significant heterogeneity in research quality and methodology exists.
Conclusions:
- Minimally invasive spine surgery (MIS) has the potential for high economic value.
- Further high-quality cost-effectiveness studies with clear methodologies are needed.
- Definitive economic value of MIS in spine surgery is yet to be established.
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