Economic impact of minimally invasive lumbar surgery

Christoph P. Hofstetter, Anna S. Hofer, Michael Y. Wang

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


Cost effectiveness has been demonstrated for traditional lumbar discectomy, lumbar laminectomy as well as for instrumented and noninstrumented arthrodesis. While emerging evidence suggests that minimally invasive spine surgery reduces morbidity, duration of hospitalization, and accelerates return to activites of daily living, data regarding cost effectiveness of these novel techniques is limited. The current study analyzes all available data on minimally invasive techniques for lumbar discectomy, decompression, short-segment fusion and deformity surgery. In general, minimally invasive spine procedures appear to hold promise in quicker patient recovery times and earlier return to work. Thus, minimally invasive lumbar spine surgery appears to have the potential to be a cost-effective intervention. Moreover, novel less invasive procedures are less destabilizing and may therefore be utilized in certain indications that traditionally required arthrodesis procedures. However, there is a lack of studies analyzing the economic impact of minimally invasive spine surgery. Future studies are necessary to confirm the durability and further define indications for minimally invasive lumbar spine procedures.

Original languageEnglish (US)
Pages (from-to)190-201
Number of pages12
JournalWorld Journal of Orthopaedics
Issue number2
StatePublished - 2015


  • Arthrodesis
  • Cost efficiency
  • Minimally invasive spine surgery
  • Outcomes
  • Value-based medicine

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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