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Our results demonstrate that reimbursement to hospitals for surgical management of symptomatic spinal metastases in the United Kingdom is broadly in line with costs, and that there was an overall saving as a result of community care costs being mitigated by patients walking for longer, which is within the expected National Health Service threshold. Surgery for metastatic spinal tumors is effective and a good value for the money.

Cost-utility analysis of surgery and radiotherapy for symptomatic spinal utility analysis of surgery and radiotherapy for symptomatic spinal utility analysis of surgery and radiotherapy for symptomatic spinal utility analysis of surgery and radiotherapy for symptomatic spinal metastases in a Belgian specialist center. metastases in a Belgian specialist center. metastases in a Belgian specialist center. metastases in a Belgian specialist center.

NuNec™ cervical disk arthroplasty improves quality of life in cervical radiculopathy and myelopathy: a two-year follow-up. AbstractBACKGROUND: Anterior cervical disk replacement is an alternative to fusion for the treatment of selected cases of radiculopathy and myelopathy. We report clinical and radiological outcomes after disk replacement with the NuNec™ artificial cervical disk with subgroup analysis. RESULTS: Forty-four NuNec™ disks were implanted in 33 patients. Clinical improvements were seen in all outcomes; significant improvements on the Neck Disability Index, Euroqol 5-dimensions and physical domain of the Short Form-36 were maintained at two years. There was a mean of 4 degrees range of movement at the replacement disk level at two years, a significant reduction from baseline; there was also progression in levels of heterotopic ossification.Complications included temporary dysphagia (10%) and progression of disease requiring foraminotomy (6%); no surgery for adjacent level disease was required. There was no significant difference in the outcomes of the radiculopathy and myelopathy groups.CONCLUSION: Clinical outcomes using the NuNec™ disk replacement are comparable with other disk replacements. Although range of movement is reduced, re-operation rate is very low. 2Short title: NuNec™ improves quality of life.

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