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Impact of previous lumbar spine surgery on total hip arthroplasty and vice versa: How long should we be concerned about mechanical failure? – Lumbar Fusion

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This article is a registry study that examines the prevalence and demographic characteristics of patients who undergo total hip arthroplasty (THA) after lumbar spine (LS) surgical procedures. The study also compares the long-term survival and causes of failure of THA in patients with previous LS fusion and non-fusion surgeries and evaluates the risk of undergoing revision LS surgery after THA. The findings indicate that LS surgery has a negative impact on THA survivorship, with patients who have undergone LS fusion experiencing worse implant survival. Mechanical THA failures are more frequent in the first two years after implantation for both LS fusion and non-fusion patients. However, there were no differences between groups in terms of the risk of undergoing LS revision surgery. This study provides valuable insights into the relationship between the hip and LS surgeries and offers guidance for clinical practice

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSIONS: LS surgery negatively affects THA survivorship. In patients who previously underwent LS fusion and non-fusion surgical procedures, most THA failure occurs in the first two years after implant. The study contributes to the understanding of the relationship between the hip and the LS and provides useful guidance for clinical practice.

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Eur Spine J. 2023 Jul 27. doi: 10.1007/s00586-023-07866-3. Online ahead of print.ABSTRACTINTRODUCTION: This registry study aims to assess the prevalence and demographic characteristics of patients with lumbar spine (LS) surgical procedures who undergo total hip arthroplasty (THA), to compare the long-term survival and causes of failure of THA in patients who previously underwent LS fusion,

Eur Spine J. 2023 Jul 27. doi: 10.1007/s00586-023-07866-3. Online ahead of print.

ABSTRACT

INTRODUCTION: This registry study aims to assess the prevalence and demographic characteristics of patients with lumbar spine (LS) surgical procedures who undergo total hip arthroplasty (THA), to compare the long-term survival and causes of failure of THA in patients who previously underwent LS fusion and non-fusion surgical procedures, and to evaluate the risk of undergoing a revision LS surgery after THA.

MATERIALS AND METHODS: Patients who underwent LS surgery followed by THA were identified by cross-referencing data from the Orthopedic Prosthetic Implants Registry and the Regional Hospital Discharge Database. Three groups of THA patients were identified: patients who underwent previous lumbar surgery with fusion (LS fusion-THA), without fusion (LS non-fusion-THA), and a control group with only THA (No LS surgery-THA). Demographic data, THA survival, number and causes of failure, and data on revision procedures on THA and LS were collected.

RESULTS: Of the total of 79,984 THA, 2.2% of patients had a history of LS procedures. THA only patients showed better results, while patients in the LS fusion-THA group had worse implant survival at 5-year follow-up. In the LS fusion-THA and LS non-fusion-THA, mechanical THA failures were more frequent in the first two years after implantation. There were no differences between groups regarding the risk of undergoing LS revision surgery.

CONCLUSIONS: LS surgery negatively affects THA survivorship. In patients who previously underwent LS fusion and non-fusion surgical procedures, most THA failure occurs in the first two years after implant. The study contributes to the understanding of the relationship between the hip and the LS and provides useful guidance for clinical practice.

PMID:37498345 | DOI:10.1007/s00586-023-07866-3

The London Spine Unit : best situated day surgery unit in the world

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Impact of previous lumbar spine surgery on total hip arthroplasty and vice versa: How long should we be concerned about mechanical failure?

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Eur Spine J. 2023 Jul 27. doi: 10.1007/s00586-023-07866-3. Online ahead of print.ABSTRACTINTRODUCTION: This registry study aims to assess the prevalence and demographic characteristics of patients with lumbar spine (LS) surgical procedures who undergo total hip arthroplasty (THA), to compare the long-term survival and causes of failure of THA in patients who previously underwent LS fusion

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