Hospital Cost Analysis of Adolescent Idiopathic Scoliosis Correction Surgery in 125 Consecutive Cases

Although achieving clinical success is the main goal in the surgical treatment of adolescent idiopathic scoliosis, it is becoming increasingly important to do so in a cost-effective manner. The goal of the present study was to determine the surgical and hospitalization costs, charges, and reimbursem...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 2010-05, Vol.92 (5), p.1097-1104
Main Authors: Kamerlink, Jonathan R., Quirno, Martin, Auerbach, Joshua D., Milby, Andrew H., Windsor, Lynne, Dean, Laura, Dryer, Joseph W., Errico, Thomas J., Lonner, Baron S.
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Cost-Benefit Analysis
Costs and Cost Analysis
Diseases of the osteoarticular system
Diseases of the spine
Female
Hospital Charges
Hospital Costs
Humans
Insurance, Health, Reimbursement
Male
Medical sciences
Orthopedic Procedures - economics
Retrospective Studies
Scoliosis - economics
Scoliosis - surgery
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Summary:Although achieving clinical success is the main goal in the surgical treatment of adolescent idiopathic scoliosis, it is becoming increasingly important to do so in a cost-effective manner. The goal of the present study was to determine the surgical and hospitalization costs, charges, and reimbursements for adolescent idiopathic scoliosis correction surgery at one institution. We performed a retrospective review of 16,536 individual costs and charges, including overall reimbursements, for 125 consecutive patients who were managed surgically for the treatment of adolescent idiopathic scoliosis by three different surgeons between 2006 and 2007. Demographic, surgical, and radiographic data were recorded for each patient. Stepwise multiple linear regression analysis was employed to assess independent correlation with total cost and charge. Nonparametric descriptive statistics were calculated for total cost with use of the Lenke curve-classification system. The mean age of the patients was 15.2 years. The mean main thoracic curve measured 50 degrees, and the thoracolumbar curve measured 41 degrees. The cost varied with Lenke curve type: $29,955 for type 1, $31,414 for type 2, $31,975 for type 3, $60,754 for type 4, $32,652 for type 5, and $33,416 for type 6. Independently significant increases for total cost were found in association with the number of pedicle screws placed, the total number of vertebral levels fused, and the type of surgical approach (R(2) = 0.35, p
ISSN:0021-9355
1535-1386
DOI:10.2106/JBJS.I.00879