Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Cervical spinal fusion for degenerative disc disease
Degenerative disc disease (DDD) of the cervical spine is a common phenomenon. The most common surgical procedure performed is spinal fusion, which involves removal of the damaged disc(s) and creation of a permanent connection across the vertebral space by means of a graft.
Status: Decision completed
Why is cervical spinal fusion being reviewed?
Despite the increase in the frequency of fusion surgery, there are many unanswered questions regarding its place in the treatment of cervical DDD, including the optimal technical approach, identification of patient subgroups likely to benefit from fusion surgery, need for repeat surgery, long-term benefit relative to conservative management, and the likelihood of long-term complications.
Primary criteria ranking
- Safety = Medium
- Efficacy = High
- Cost = High
Documentation
| Type | Materials |
|---|---|
| Assessment (2013) |
Assessment timeline
- Draft key questions published: September 21, 2012
- Public comment period: September 21 to October 5, 2012
- Draft report published: January 10, 2013
- Public comment period: January 10 to February 14, 2013
- Final report published: February 18, 2013
- HTCC public meeting: March 22, 2013