• Spine · Nov 2002

    Review

    Chronic pain of spinal origin: the costs of intervention.

    • Barry N Straus.
    • North Georgia Pain Clinic, Canton, Georgia 30114, USA. NGPCDHS@aol.com
    • Spine. 2002 Nov 15; 27 (22): 2614-9; discussion 2620.

    AbstractThe cost of chronic benign spinal pain is large and growing. The costs of interventional treatment for spinal pain were at a minimum of $13 billion (U.S. dollars) in 1990, and the costs are growing at least 7% per year. Medical treatment of chronic pain costs $9000 to $19,000 per person per year. The costs of interventional therapy is calculated. Methods of evaluating differential treatments in terms of costs are described. Cost-minimization versus cost-effectiveness approaches are described. Spinal cord stimulation and intraspinal drug infusion systems are alternatives that can be justified on a cost basis. Cost minimization analysis suggests that epidural injections under fluoroscopy may not be justified by the current literature.

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