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Cervical Myelopathy Doubles the Rate of Dislocation and Fracture After Total Hip Arthroplasty.

Publication ,  Journal Article
Blizzard, DJ; Klement, MR; Penrose, CT; Sheets, CZ; Bolognesi, MP; Seyler, TM
Published in: J Arthroplasty
September 2016

BACKGROUND: Cervical spondylotic myelopathy (CSM) is a common and underdiagnosed cause of gait dysfunction, rigidity, and falls in the elderly. Given the frequent concurrency of CSM and hip osteoarthritis, this study is designed to evaluate the relative risk of CSM on perioperative and short-term outcomes after total hip arthroplasty (THA). METHODS: The Medicare Standard Analytical Files were searched from 2005 to 2012 to identify all patients undergoing primary THA and the subset of patients with preexisting CSM. Risk ratios with 95% confidence intervals were calculated for 90-day, 1-year, and overall follow-up for common postoperative complications: periprosthetic dislocation, fracture, infection, revision THA, and wound complications. RESULTS: The risk ratios of all surgical complications, including dislocation, periprosthetic fractures, and prosthetic joint infection, were increased approximately 2-fold at all postoperative time points for patients. CONCLUSION: Preexisting CSM is a significant risk factor for primary THA complications including dislocation, periprosthetic fractures, and prosthetic joint infection.

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Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

September 2016

Volume

31

Issue

9 Suppl

Start / End Page

242 / 247

Location

United States

Related Subject Headings

  • United States
  • Spinal Cord Diseases
  • Risk Factors
  • Retrospective Studies
  • Postoperative Complications
  • Periprosthetic Fractures
  • Osteoarthritis, Hip
  • Orthopedics
  • Middle Aged
  • Medicare
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Blizzard, D. J., Klement, M. R., Penrose, C. T., Sheets, C. Z., Bolognesi, M. P., & Seyler, T. M. (2016). Cervical Myelopathy Doubles the Rate of Dislocation and Fracture After Total Hip Arthroplasty. J Arthroplasty, 31(9 Suppl), 242–247. https://doi.org/10.1016/j.arth.2016.05.070
Blizzard, Daniel J., Mitchell R. Klement, Colin T. Penrose, Charles Z. Sheets, Michael P. Bolognesi, and Thorsten M. Seyler. “Cervical Myelopathy Doubles the Rate of Dislocation and Fracture After Total Hip Arthroplasty.J Arthroplasty 31, no. 9 Suppl (September 2016): 242–47. https://doi.org/10.1016/j.arth.2016.05.070.
Blizzard DJ, Klement MR, Penrose CT, Sheets CZ, Bolognesi MP, Seyler TM. Cervical Myelopathy Doubles the Rate of Dislocation and Fracture After Total Hip Arthroplasty. J Arthroplasty. 2016 Sep;31(9 Suppl):242–7.
Blizzard, Daniel J., et al. “Cervical Myelopathy Doubles the Rate of Dislocation and Fracture After Total Hip Arthroplasty.J Arthroplasty, vol. 31, no. 9 Suppl, Sept. 2016, pp. 242–47. Pubmed, doi:10.1016/j.arth.2016.05.070.
Blizzard DJ, Klement MR, Penrose CT, Sheets CZ, Bolognesi MP, Seyler TM. Cervical Myelopathy Doubles the Rate of Dislocation and Fracture After Total Hip Arthroplasty. J Arthroplasty. 2016 Sep;31(9 Suppl):242–247.
Journal cover image

Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

September 2016

Volume

31

Issue

9 Suppl

Start / End Page

242 / 247

Location

United States

Related Subject Headings

  • United States
  • Spinal Cord Diseases
  • Risk Factors
  • Retrospective Studies
  • Postoperative Complications
  • Periprosthetic Fractures
  • Osteoarthritis, Hip
  • Orthopedics
  • Middle Aged
  • Medicare