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.
Artificial disc replacement
Artificial disc replacement (ADR) are disc prostheses developed to mimic the decompressive and supportive properties of intervertebral discs.
ADR was first reviewed by the HTA program in 2008.
- In 2016, an update literature search of ADR was conducted to determine if newly available evidence published since the original assessment could change the 2008 coverage determination.
- In 2017, a rereview of artificial disc replacement was conducted.
Status: Decision completed
Why is ADR being reviewed?
ADR was selected for rereview based on new literature identified which may invalidate aspects of the previous report. This report addresses issues of efficacy, safety, and cost and compares ADR (cervical and lumbar) to current alternative treatments including fusion and nonsurgical treatment.
Primary criteria ranking
- Safety = Medium/High
- Efficacy = High
- Cost = Medium
Documentation
| Type | Materials |
|---|---|
| Update literature (2024) | |
| Assessment (2017) | |
| Update literature (2016) | |
| Assessment (2008) |
Assessment timeline (2016)
- Draft key questions published: June 28, 2016
- Public comment period: June 29 to July 13, 2016
- Final key questions published: July 29, 2016
- Draft report published: October 20, 2016
- Public comment period: October 21 to November 21, 2016
- Final report published: December 19, 2016
- HTCC public meeting: January 20, 2017