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The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.

Publication ,  Journal Article
Blizzard, DJ; Sheets, CZ; Seyler, TM; Penrose, CT; Klement, MR; Gallizzi, MA; Brown, CR
Published in: Orthopedics
May 1, 2017

Concomitant spine and hip disease in patients undergoing total hip arthroplasty (THA) presents a management challenge. Degenerative lumbar spine conditions are known to decrease lumbar lordosis and limit lumbar flexion and extension, leading to altered pelvic mechanics and increased demand for hip motion. In this study, the effect of lumbar spine disease on complications after primary THA was assessed. The Medicare database was searched from 2005 to 2012 using International Classification of Diseases, Ninth Revision, procedure codes for primary THA and diagnosis codes for preoperative diagnoses of lumbosacral spondylosis, lumbar disk herniation, acquired spondylolisthesis, and degenerative disk disease. The control group consisted of all patients without a lumbar spine diagnosis who underwent THA. The risk ratios for prosthetic hip dislocation, revision THA, periprosthetic fracture, and infection were significantly higher for all 4 lumbar diseases at all time points relative to controls. The average complication risk ratios at 90 days were 1.59 for lumbosacral spondylosis, 1.62 for disk herniation, 1.65 for spondylolisthesis, and 1.53 for degenerative disk disease. The average complication risk ratios at 2 years were 1.66 for lumbosacral spondylosis, 1.73 for disk herniation, 1.65 for spondylolisthesis, and 1.59 for degenerative disk disease. Prosthetic hip dislocation was the most common complication at 2 years in all 4 spinal disease cohorts, with risk ratios ranging from 1.76 to 2.00. This study shows a significant increase in the risk of complications following THA in patients with lumbar spine disease. [Orthopedics. 2017; 40(3):e520-e525.].

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Published In

Orthopedics

DOI

EISSN

1938-2367

Publication Date

May 1, 2017

Volume

40

Issue

3

Start / End Page

e520 / e525

Location

United States

Related Subject Headings

  • United States
  • Spondylolisthesis
  • Range of Motion, Articular
  • Pelvis
  • Orthopedics
  • Orthopedic Procedures
  • Medicare
  • Lumbosacral Region
  • Lumbar Vertebrae
  • Lordosis
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Blizzard, D. J., Sheets, C. Z., Seyler, T. M., Penrose, C. T., Klement, M. R., Gallizzi, M. A., & Brown, C. R. (2017). The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes. Orthopedics, 40(3), e520–e525. https://doi.org/10.3928/01477447-20170327-03
Blizzard, Daniel J., Charles Z. Sheets, Thorsten M. Seyler, Colin T. Penrose, Mitchell R. Klement, Michael A. Gallizzi, and Christopher R. Brown. “The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.Orthopedics 40, no. 3 (May 1, 2017): e520–25. https://doi.org/10.3928/01477447-20170327-03.
Blizzard DJ, Sheets CZ, Seyler TM, Penrose CT, Klement MR, Gallizzi MA, et al. The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes. Orthopedics. 2017 May 1;40(3):e520–5.
Blizzard, Daniel J., et al. “The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.Orthopedics, vol. 40, no. 3, May 2017, pp. e520–25. Pubmed, doi:10.3928/01477447-20170327-03.
Blizzard DJ, Sheets CZ, Seyler TM, Penrose CT, Klement MR, Gallizzi MA, Brown CR. The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes. Orthopedics. 2017 May 1;40(3):e520–e525.

Published In

Orthopedics

DOI

EISSN

1938-2367

Publication Date

May 1, 2017

Volume

40

Issue

3

Start / End Page

e520 / e525

Location

United States

Related Subject Headings

  • United States
  • Spondylolisthesis
  • Range of Motion, Articular
  • Pelvis
  • Orthopedics
  • Orthopedic Procedures
  • Medicare
  • Lumbosacral Region
  • Lumbar Vertebrae
  • Lordosis