Cargando…

Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?

Lumbar spine disorders (LSD) might influence the outcome after total hip arthroplasty (THA). Despite a known common prevalence of LSD and degenerative hip disorders, this study investigates their mutual influence in case of co-existence with the purpose to advance surgeons planning and patient’s pro...

Descripción completa

Detalles Bibliográficos
Autores principales: Wirries, Nils, Schwarze, Michael, Daentzer, Dorothea, Skutek, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7461643/
https://www.ncbi.nlm.nih.gov/pubmed/32922702
http://dx.doi.org/10.4081/or.2020.8546
_version_ 1783576775118290944
author Wirries, Nils
Schwarze, Michael
Daentzer, Dorothea
Skutek, Michael
author_facet Wirries, Nils
Schwarze, Michael
Daentzer, Dorothea
Skutek, Michael
author_sort Wirries, Nils
collection PubMed
description Lumbar spine disorders (LSD) might influence the outcome after total hip arthroplasty (THA). Despite a known common prevalence of LSD and degenerative hip disorders, this study investigates their mutual influence in case of co-existence with the purpose to advance surgeons planning and patient’s prognosis. Patients with and without LSD were compared before and at the one-year postoperative examination. For clinical evaluation the WOMAC was assessed. The radiological analysis focused on cup anteversion and inclination. The total group included 203 consecutive patients. The overall incidence of LSD was 51.0%. Patients with LSD were on average 4.3 years older and had a 1.8 higher BMI than non-LSD patients (P<0.05). The cup positioning and the clinical results were comparable between both groups before and at the last time of follow up (P>0.05). No hip dislocations nor clinical signs of impingement were seen.We can conclude that there is a high degree of co-existence of LSD and hip disorders. However, a strong negative impact of LSD to clinical or radiologic results could not be confirmed in our study.
format Online
Article
Text
id pubmed-7461643
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher PAGEPress Publications, Pavia, Italy
record_format MEDLINE/PubMed
spelling pubmed-74616432020-09-10 Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence? Wirries, Nils Schwarze, Michael Daentzer, Dorothea Skutek, Michael Orthop Rev (Pavia) Article Lumbar spine disorders (LSD) might influence the outcome after total hip arthroplasty (THA). Despite a known common prevalence of LSD and degenerative hip disorders, this study investigates their mutual influence in case of co-existence with the purpose to advance surgeons planning and patient’s prognosis. Patients with and without LSD were compared before and at the one-year postoperative examination. For clinical evaluation the WOMAC was assessed. The radiological analysis focused on cup anteversion and inclination. The total group included 203 consecutive patients. The overall incidence of LSD was 51.0%. Patients with LSD were on average 4.3 years older and had a 1.8 higher BMI than non-LSD patients (P<0.05). The cup positioning and the clinical results were comparable between both groups before and at the last time of follow up (P>0.05). No hip dislocations nor clinical signs of impingement were seen.We can conclude that there is a high degree of co-existence of LSD and hip disorders. However, a strong negative impact of LSD to clinical or radiologic results could not be confirmed in our study. PAGEPress Publications, Pavia, Italy 2020-08-18 /pmc/articles/PMC7461643/ /pubmed/32922702 http://dx.doi.org/10.4081/or.2020.8546 Text en ©Copyright: the Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).
spellingShingle Article
Wirries, Nils
Schwarze, Michael
Daentzer, Dorothea
Skutek, Michael
Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?
title Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?
title_full Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?
title_fullStr Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?
title_full_unstemmed Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?
title_short Total hip arthroplasty and lumbar spine disorders: Plain co-existence or mutual influence?
title_sort total hip arthroplasty and lumbar spine disorders: plain co-existence or mutual influence?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7461643/
https://www.ncbi.nlm.nih.gov/pubmed/32922702
http://dx.doi.org/10.4081/or.2020.8546
work_keys_str_mv AT wirriesnils totalhiparthroplastyandlumbarspinedisordersplaincoexistenceormutualinfluence
AT schwarzemichael totalhiparthroplastyandlumbarspinedisordersplaincoexistenceormutualinfluence
AT daentzerdorothea totalhiparthroplastyandlumbarspinedisordersplaincoexistenceormutualinfluence
AT skutekmichael totalhiparthroplastyandlumbarspinedisordersplaincoexistenceormutualinfluence