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Prevalence of total joint arthroplasty in the adult spine deformity population – Lumbar Fusion

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The article discusses the anatomical and biomechanical connections between the spine, hip, and knee, and how total joint arthroplasty is commonly used to treat degenerative changes in these areas. The study aimed to determine the prevalence of total joint arthroplasty in adult spinal deformity patients at the institution. A retrospective review of cases from 2017 to 2021 found a high prevalence rate of 29.4% of total joint arthroplasty in adult spinal deformity patients, surpassing rates reported in the general population. This high prevalence may warrant special surgical consideration for patients with adult spinal deformity and total joint arthroplasty

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal clinic in UK

Published article

S: This study revealed a high prevalence TJA rate of 29.4% in ASD at our institution. This rate surpasses the prevalence rate reported among the general population in previous studies. High prevalence of patients with ASD and TJA may merit special surgical consideration.

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Spine Deform. 2024 Apr 9. doi: 10.1007/s43390-024-00869-0. Online ahead of print. ABSTRACT PURPOSE: The spine, hip, and knee are anatomically and biomechanically connected. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are commonly employed to treat degenerative changes in the hip and knee, while fusion is used for spine degeneration. Spine deformity correction results,

Spine Deform. 2024 Apr 9. doi: 10.1007/s43390-024-00869-0. Online ahead of print.

ABSTRACT

PURPOSE: The spine, hip, and knee are anatomically and biomechanically connected. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are commonly employed to treat degenerative changes in the hip and knee, while fusion is used for spine degeneration. Spine deformity correction results in changes in sagittal alignment and pelvic parameters, and patients with stiff spines have higher rates of THA dislocation and revision due to instability. The goal of this study was to determine the prevalence of total joint arthroplasty (TJA) in adult spinal deformity (ASD) patients at our institution.

METHODS: Following Institutional Review Board approval, we retrospectively reviewed a list of cases performed by the senior author from 4/2017 to 5/2021. Patients > 18 years old undergoing preoperative evaluation for symptomatic lumbar degeneration or ASD were included. Patients < 18 years old, those diagnosed with adolescent idiopathic scoliosis, and non-fusion cases were excluded. Perioperative full-length standing EOS images were examined for the presence or absence of THA, TKA, or both. Demographic data was collected from patient electronic medical records, and statistical analyses were completed.

RESULTS: 572 consecutive cases were reviewed, and 322 were excluded. 250 cases (97M:153F) were included in the final analysis, with a mean age of 61.8 ± 11.2 years. A total of 74 patients had a TJA (29.4%). THA was present in 41 patients (16.4%), and TKA was present in 49 patients (19.6%). Males had a higher prevalence of TJA, THA, and TKA (29.9%, 16.5%, and 21.6%) than females (29.4%, 16.3%, and 18.3%).

S: This study revealed a high prevalence TJA rate of 29.4% in ASD at our institution. This rate surpasses the prevalence rate reported among the general population in previous studies. High prevalence of patients with ASD and TJA may merit special surgical consideration.

PMID:38592647 | DOI:10.1007/s43390-024-00869-0

The London Spine Unit : most specialised spinal clinic in UK

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Prevalence of total joint arthroplasty in the adult spine deformity population

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Spine Deform. 2024 Apr 9. doi: 10.1007/s43390-024-00869-0. Online ahead of print. ABSTRACT PURPOSE: The spine, hip, and knee are anatomically and biomechanically connected. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are commonly employed to treat degenerative changes in the hip and knee, while fusion is used for spine degeneration. Spine deformity correction results

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