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Is Timing of Total Hip Arthroplasty and Lumbar Spine Fusion Associated With Risk of Hip Dislocation? – Lumbar Fusion

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The article investigated the risk of dislocation after total hip arthroplasty (THA) in patients with concomitant hip and lumbar spine disease. The study utilized a retrospective review of the PearlDiver database and examined patients who underwent lumbar spine fusion (LSF) either before or after THA. The primary outcome variable was postoperative hip dislocation. Demographic data including age, sex, and obesity were collected. The results showed no significant difference in the risk of dislocation after THA whether LSF occurred prior to or after the procedure. These findings can assist surgeons in counseling patients with both lumbar spine and hip degeneration

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: There was no difference in the risk of dislocation after primary or revision THA if LSF occurred prior to or after the THA. These findings can help surgeons as they counsel patients with concomitant lumbar spine and hip degeneration.

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Arthroplast Today. 2023 Sep 16;23:101202. doi: 10.1016/j.artd.2023.101202. eCollection 2023 Oct.ABSTRACTBACKGROUND: In patients with concomitant hip and lumbar spine disease, the question of which surgery-total hip arthroplasty (THA) or lumbar spine fusion (LSF)-to address first has not been adequately answered. We aimed to evaluate the risk of dislocation after THA in patients with LSF first or,

Arthroplast Today. 2023 Sep 16;23:101202. doi: 10.1016/j.artd.2023.101202. eCollection 2023 Oct.

ABSTRACT

BACKGROUND: In patients with concomitant hip and lumbar spine disease, the question of which surgery-total hip arthroplasty (THA) or lumbar spine fusion (LSF)-to address first has not been adequately answered. We aimed to evaluate the risk of dislocation after THA in patients with LSF first or after THA.

METHODS: Retrospective review utilizing the PearlDiver database querying Current Procedural Terminology codes for LSF in the year prior (LSF first) or in the year after primary or revision THA (THA first). International Classification of Disease codes identified postoperative hip dislocation as our primary outcome variable. Demographic data collected included age, sex, and obesity. Dislocation rates were described as a proportion of the cohort and compared with chi-square tests.

RESULTS: We identified 280,857 primary THA and 42,314 revision THA cases from 2012-2019. Of these, 2090 underwent primary THA and LSF, and 283 underwent revision THA and LSF within a year of each procedure. No differences in age, sex, or obesity between groups were noted. No difference in rate of all-time dislocation for primary THA was noted for the LSF first 51/1429 (3.6%) compared to the THA first 30/661 (4.0%) groups (P = .34), or for revision THA with LSF first 48/204 (23.5%) compared to THA first 27/117 (23.1%) groups (P = 1.0).

S: There was no difference in the risk of dislocation after primary or revision THA if LSF occurred prior to or after the THA. These findings can help surgeons as they counsel patients with concomitant lumbar spine and hip degeneration.

PMID:37753220 | PMC:PMC10518672 | DOI:10.1016/j.artd.2023.101202

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Is Timing of Total Hip Arthroplasty and Lumbar Spine Fusion Associated With Risk of Hip Dislocation?

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Arthroplast Today. 2023 Sep 16;23:101202. doi: 10.1016/j.artd.2023.101202. eCollection 2023 Oct.ABSTRACTBACKGROUND: In patients with concomitant hip and lumbar spine disease, the question of which surgery-total hip arthroplasty (THA) or lumbar spine fusion (LSF)-to address first has not been adequately answered. We aimed to evaluate the risk of dislocation after THA in patients with LSF first or

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