[Dynamic stabilization with interspinous devices for spinal conditions]

Alfie V, Augustovski F, Pichon-Riviere A, García Martí S, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001485
Original Title: Estabilización dinámica con dispositivos interespinosos en patología lumbar
Authors' recomendations: CONCLUSIONS Low-quality evidence from a small randomized study might suggest that dynamic lumbar stabilization with interspinous devices, when compared with non-surgical treatments, could improve pain control at two years in patients with a narrow spinal canal. High-quality evidence shows that dynamic stabilization with interspinous devices, when compared with standard surgical treatments, does not provide additional benefits in terms of pain control, functionality or quality of life in the treatment of patients with degenerative lumbar spinal stenosis. Moderate-quality evidence suggests that adding dynamic stabilization post- microdiscectomy would not improve pain control or functionality when compared with standard microdiscectomy in patients with lumbar herniated disc. The use of these devices would produce an increased number of postoperative complications and reoperations. With the exception of a public sponsor from a high-income country that covers this technology in selected cases, the rest of the public and private sponsors consulted do not cover it for dynamic lumbar stabilization with interspinous devices for any indication. The clinical practice guidelines surveyed do not recommend using dynamic lumbar stabilization with interspinous devices for degenerative conditions or of those of the spinal disc. No cost-effectiveness or budgetary-impact studies have been found regarding this technology in Argentina. However, its cost is high compared with that of the standard treatment, with no associated significant benefits versus the usual comparators; therefore it would not be cost-effective in Argentina.
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Spinal Stenosis
  • Lumbar Vertebrae
  • Internal Fixators
  • Back Pain
  • Low Back Pain
  • Intervertebral Disc Degeneration
  • Prostheses and Implants
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.