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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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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 |
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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 |
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