1145 - Artificial Intervertebral Disc Replacement in Patients with Cervical Degenerative Disc Disease
|Application Name||Artificial Intervertebral Disc Replacement in Patients with Cervical Degenerative Disc Disease|
|Description of Medical Service||The proposed service is a surgical procedure for the implantation of a medical device used in the treatment and management of cervical DDD in patients who have failed to respond to conservative care. The procedure is known as CDA and involves surgical insertion of an artificial disc. Under general anaesthesia, the patient is placed in the supine position. The anterior cervical spine is exposed, and following standard discectomy and decompression of the neural elements, an artificial disc prosthesis is placed between the vertebrae.|
|Assessment Type||Submission Based Assessment|
|Date Received by MSAC Secretariat||3 February 2010|
|Stage 1 - Eligibility||21 May 2010|
|Stage 2 - Assessment Status||Assessment Report - PDF Printable Version (PDF 461 KB)|
Assessment Report Appendices - PDF Printable Version (PDF 1141 KB)
ESC considered this assessment on 12-13 October 2011.
MSAC appraised this assessment on 29 November 2011.
Public Summary Document - PDF Printable Version (PDF 187 KB)
|Stage 3 - Formulation of Advice to the Minister||After considering the strength of the available evidence in relation to the safety, effectiveness and cost-effectiveness of artificial intervertebral disc replacement for dynamic stabilisation of the cervical spine (AIDR-C), MSAC supports public funding of AIDR-C for symptomatic single level cervical degenerative disc disease in skeletally mature patients with a mechanically stable cervical spine who have not responded to conservative therapy and who have not had prior cervical spine surgery.|
Draft Item Descriptor:
Description Fee Benefit
CERVICAL ARTIFICIAL INTERVERTEBRAL TOTAL DISC REPLACEMENT
including removal of disc, 1 level only, in skeletally mature patients with single level cervical degenerative disc disease with radiculopathy in the absence of vertebral osteoporosis or prior spinal fusion at the same cervical level who have failed conservative therapy, with fluoroscopy
$1,023.25 75% = $767.44
|Stage 4 - Noting by Minister:
||The Minister noted MSAC's advice 12 June 2012.|
|Stage 5 - Implementation||1 November 2012 |
MBS item number 48694.
Page currency, Latest update: 07 November, 2014