National Trends for Primary and Revision Lumbar Disc Arthroplasty Throughout the United States.
Comron SaifiAlejandro CazzulinoCaroline ParkJoseph LarattaPhilip K LouieJamal N ShillingfordRonald LehmanHoward AnFrank PhillipsPublished in: Global spine journal (2017)
From 2005 to 2013, primary LDA significantly declined in the United States by 86% despite several studies pointing to improved efficacy and cost-efficiency. This disparity may be related to a lack of surgeon reimbursement from insurance companies. Congruently, the number of revision LDA cases has declined 30%, while revision burden has risen from 6% to 24%.