Cargando…

Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease

OBJECTIVE: To discuss how the sequence of spinal surgery and hip replacement is determined for patients with both degenerative scoliosis and hip disease. METHODS: Twenty-six patients treated for both degenerative scoliosis and hip disease from June 2012 to June 2015 were retrospectively studied. Ele...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Haocong, Yu, Hailong, Zhang, Meng, Huang, Zijun, Xiang, Liangbi, Liu, Xinwei, Wang, Zheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727075/
https://www.ncbi.nlm.nih.gov/pubmed/33290130
http://dx.doi.org/10.1177/0300060520959224
_version_ 1783621024998227968
author Zhang, Haocong
Yu, Hailong
Zhang, Meng
Huang, Zijun
Xiang, Liangbi
Liu, Xinwei
Wang, Zheng
author_facet Zhang, Haocong
Yu, Hailong
Zhang, Meng
Huang, Zijun
Xiang, Liangbi
Liu, Xinwei
Wang, Zheng
author_sort Zhang, Haocong
collection PubMed
description OBJECTIVE: To discuss how the sequence of spinal surgery and hip replacement is determined for patients with both degenerative scoliosis and hip disease. METHODS: Twenty-six patients treated for both degenerative scoliosis and hip disease from June 2012 to June 2015 were retrospectively studied. Eleven patients underwent hip replacement followed by lumbar surgery (Group A), and 15 patients underwent lumbar surgery followed by hip replacement (Group B). The average follow-up duration was 1.5 years. Related indicators were assessed preoperatively and postoperatively. RESULTS: The parameters showing significant differences between Groups A and B after surgery were acetabular anteversion, the Oswestry functional disability score, and the Harris hip score. Postoperatively, five patients in Group A had unequal shoulder heights and inclination of the trunk to one side. After lumbar surgery and before total hip arthroplasty in Group B, eight patients could not walk, and the limitation was more severe than that preoperatively. CONCLUSION: Spinal surgery may be performed first to resolve lumbar nerve symptoms and restore sagittal balance of the spine; hip replacement may then be performed to simplify hip replacement difficulties and resolve the imbalance after spinal surgery. Severely limited range of motion exists after lumbar surgery and before total hip arthroplasty.
format Online
Article
Text
id pubmed-7727075
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-77270752020-12-18 Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease Zhang, Haocong Yu, Hailong Zhang, Meng Huang, Zijun Xiang, Liangbi Liu, Xinwei Wang, Zheng J Int Med Res Retrospective Clinical Research Report OBJECTIVE: To discuss how the sequence of spinal surgery and hip replacement is determined for patients with both degenerative scoliosis and hip disease. METHODS: Twenty-six patients treated for both degenerative scoliosis and hip disease from June 2012 to June 2015 were retrospectively studied. Eleven patients underwent hip replacement followed by lumbar surgery (Group A), and 15 patients underwent lumbar surgery followed by hip replacement (Group B). The average follow-up duration was 1.5 years. Related indicators were assessed preoperatively and postoperatively. RESULTS: The parameters showing significant differences between Groups A and B after surgery were acetabular anteversion, the Oswestry functional disability score, and the Harris hip score. Postoperatively, five patients in Group A had unequal shoulder heights and inclination of the trunk to one side. After lumbar surgery and before total hip arthroplasty in Group B, eight patients could not walk, and the limitation was more severe than that preoperatively. CONCLUSION: Spinal surgery may be performed first to resolve lumbar nerve symptoms and restore sagittal balance of the spine; hip replacement may then be performed to simplify hip replacement difficulties and resolve the imbalance after spinal surgery. Severely limited range of motion exists after lumbar surgery and before total hip arthroplasty. SAGE Publications 2020-12-08 /pmc/articles/PMC7727075/ /pubmed/33290130 http://dx.doi.org/10.1177/0300060520959224 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Zhang, Haocong
Yu, Hailong
Zhang, Meng
Huang, Zijun
Xiang, Liangbi
Liu, Xinwei
Wang, Zheng
Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease
title Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease
title_full Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease
title_fullStr Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease
title_full_unstemmed Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease
title_short Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease
title_sort selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727075/
https://www.ncbi.nlm.nih.gov/pubmed/33290130
http://dx.doi.org/10.1177/0300060520959224
work_keys_str_mv AT zhanghaocong selectionofspinalsurgeryandhipreplacementsequenceinpatientswithbothdegenerativescoliosisandhipdisease
AT yuhailong selectionofspinalsurgeryandhipreplacementsequenceinpatientswithbothdegenerativescoliosisandhipdisease
AT zhangmeng selectionofspinalsurgeryandhipreplacementsequenceinpatientswithbothdegenerativescoliosisandhipdisease
AT huangzijun selectionofspinalsurgeryandhipreplacementsequenceinpatientswithbothdegenerativescoliosisandhipdisease
AT xiangliangbi selectionofspinalsurgeryandhipreplacementsequenceinpatientswithbothdegenerativescoliosisandhipdisease
AT liuxinwei selectionofspinalsurgeryandhipreplacementsequenceinpatientswithbothdegenerativescoliosisandhipdisease
AT wangzheng selectionofspinalsurgeryandhipreplacementsequenceinpatientswithbothdegenerativescoliosisandhipdisease