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Updated: Aug 22, 2025

Precision Measurements and Parametric Models of Vertebral Endplates
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Measuring Value in Elective Spine Surgery.

Erik B Gerlach1, Alexandra R Richards1, Mark A Plantz1

  • 1Department of Orthopaedic Surgery, Northwestern Feinberg School of Medicine, Chicago, IL, United States.

Spine Surgery and Related Research
|November 9, 2022
PubMed
Summary

Measuring the value in spine surgery is complex, involving quality and cost. Further research is needed to establish cost-per-quality thresholds for personalized patient care.

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Area of Science:

  • Orthopedic Surgery
  • Health Economics
  • Value-Based Healthcare

Background:

  • Determining the value of surgical interventions, defined as quality of care divided by cost, is complex.
  • Both quality and total cost are multifactorial and challenging to quantify.
  • Current methods struggle to capture the full spectrum of direct and indirect costs associated with procedures.

Purpose of the Study:

  • To summarize research findings on measuring value in spine surgery.
  • To highlight the need for better metrics in assessing spine surgery value.
  • To inform the shift towards value-based care in spine surgery.

Main Methods:

  • A narrative review of relevant literature was conducted.
  • The review synthesized existing research on value assessment in spine surgery.
Keywords:
CostPerformance IndicatorsQualitySpine SurgeryValue

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  • No new data was collected; existing studies were analyzed.

    • Main Results:

    • Calculating aggregate hospital costs is simpler than estimating total procedure costs (direct and indirect).
    • Individual metrics can aid providers in improving patient quality of life and reducing costs.
    • A consensus on cost-per-quality-adjusted life-year thresholds for spine surgeries is needed.

    Conclusions:

    • The healthcare system's shift to value-based care necessitates research on spine surgery value.
    • Further studies are required to identify patient-specific and surgical predictors of outcomes, cost, and value.
    • Developing standardized metrics will enhance personalized healthcare in spine surgery.