Lumbar Spine Fusion Patients See Similar Improvements in Physical Activity Level to Non-Spine Fusion Patients Following Total Hip Arthroplasty

2020 ◽  
Vol 35 (2) ◽  
pp. 451-456
Author(s):  
Adrian D. Hinman ◽  
Maria C.S. Inacio ◽  
Heather A. Prentice ◽  
Calvin C. Kuo ◽  
Monti Khatod ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Physical Activity Level ◽  
Spine Fusion ◽  
Activity Level ◽  
Total Hip ◽  
Lumbar Spine Fusion

Degenerative Lumbar Spine Disease, Not Fusion, May Be a Risk Factor for Instability after Total Hip Arthroplasty

2020 ◽  
Vol 4 (04) ◽  
pp. 193-200
Author(s):  
Daniel K. Witmer ◽  
Evan R. Deckard ◽  
R. Michael Meneghini
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Spine Fusion ◽  
Joint Disease ◽  
Total Hip ◽  
Female Sex ◽  
Lumbar Spine Fusion ◽  
Radiographic Measurements ◽  
Acetabular Protrusio

AbstractDislocation rates after total hip arthroplasty (THA) in patients with fixed spinopelvic motion have been reported as high as 20%. Few studies exist specifically for lumbar spine degenerative joint disease (DJD) and its relationship to THA instability. There were two study objectives: (1) report the incidence of lumbar spine DJD and previous lumbar spine fusion and (2) evaluate the relationship of these two conditions and other potential risk factors to postoperative dislocation after THA. We retrospectively reviewed 818 consecutive THAs performed by a single surgeon utilizing a posterior approach. Comprehensive medical chart and radiographic review was performed to identify patients with lumbar spine DJD and lumbar spine fusion. Radiographic measurements, patient factors, surgical factors, and incidences of dislocation also were recorded. Eight hundred and twelve THAs were analyzed. There were 10 dislocations (1.2%, 10/812). Lumbar spine DJD and previous lumbar spine fusion occurred in 33.4% (271/812) and 5.9% (48/812) of patients, respectively. Lumbar spine DJD, acetabular protrusio, and female sex were significant predictors of dislocation using a Firth penalized maximum likelihood estimation specifically for rare events (area under receiver-operator characteristic curve = 0.91, 95% confidence interval 0.86, 0.96). Interestingly, only 2 of 10 dislocations had a previous lumbar spine fusion. Lumbar spine DJD, acetabular protrusio, and female sex were significant predictors of dislocation, while lumbar spine fusion was largely unrelated. This study used data available to most practicing surgeons and provides useful information for counseling patients preoperatively.

Time to Dislocation Analysis of Lumbar Spine Fusion Following Total Hip Arthroplasty: Breaking Up a Happy Home

2018 ◽  
Vol 33 (12) ◽  
pp. 3768-3772 ◽  
Author(s):  
Connor A. King ◽  
David C. Landy ◽  
John M. Martell ◽  
Hue H. Luu ◽  
Lewis L. Shi ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Spine Fusion ◽  
Total Hip ◽  
Lumbar Spine Fusion

Clinical outcomes and complication profile of total hip arthroplasty after lumbar spine fusion: a meta-analysis and systematic review

2019 ◽  
Vol 29 (2) ◽  
pp. 282-294 ◽  
Author(s):  
James Randolph Onggo ◽  
Mithun Nambiar ◽  
Jason Derry Onggo ◽  
Kevin Phan ◽  
Anuruban Ambikaipalan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Meta Analysis ◽  
Spine Fusion ◽  
Total Hip ◽  
Lumbar Spine Fusion

Does Timing of Primary Total Hip Arthroplasty Prior to or After Lumbar Spine Fusion Have an Effect on Dislocation and Revision Rates?

2019 ◽  
Vol 34 (5) ◽  
pp. 907-911 ◽  
Author(s):  
Arthur L. Malkani ◽  
Kevin J. Himschoot ◽  
Kevin L. Ong ◽  
Edmund C. Lau ◽  
Doruk Baykal ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Spine Fusion ◽  
Total Hip ◽  
Lumbar Spine Fusion ◽  
Primary Total Hip Arthroplasty

Does Physical Activity Level Influence Total Hip Arthroplasty Expectations, Satisfaction, and Outcomes?

2021 ◽  
Author(s):  
Danielle Y. Ponzio ◽  
Shane D. Rothermel ◽  
Yu-Fen Chiu ◽  
Alexandra I. Stavrakis ◽  
Stephen Lyman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Physical Activity Level ◽  
Activity Level ◽  
Total Hip

Lumbar Spine Fusion Before Revision Total Hip Arthroplasty Is Associated With Increased Dislocation Rates

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Christian Klemt ◽  
Anand Padmanabha ◽  
Venkatsaiakhil Tirumala ◽  
Paul Walker ◽  
Evan J. Smith ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Spine Fusion ◽  
Revision Total Hip Arthroplasty ◽  
Total Hip ◽  
Lumbar Spine Fusion

Use of dual mobility cups in patients undergoing primary total hip arthroplasty with prior lumbar spine fusion

2020 ◽  
Vol 44 (5) ◽  
pp. 857-862 ◽  
Author(s):  
Joseph M. Nessler ◽  
Arthur L. Malkani ◽  
Shikha Sachdeva ◽  
Joseph P. Nessler ◽  
Geoff Westrich ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Spine Fusion ◽  
Dual Mobility ◽  
Total Hip ◽  
Lumbar Spine Fusion ◽  
Dual Mobility Cups ◽  
Primary Total Hip Arthroplasty

scholarly journals Reproducibility and Validity of the Physical Activity Scale for the Elderly (PASE) Questionnaire in Patients After Total Hip Arthroplasty

2015 ◽  
Vol 95 (1) ◽  
pp. 86-94 ◽  
Author(s):  
Nicola C. Casartelli ◽  
Sylvain Bolszak ◽  
Franco M. Impellizzeri ◽  
Nicola A. Maffiuletti
Keyword(s):  
Physical Activity ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Physical Activity Level ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
The Elderly ◽  
Activity Level ◽  
Activity Scale ◽  
Physical Activity Scale

Background The assessment of physical activity is of concern in patients after total hip arthroplasty (THA). However, so far, no questionnaire has demonstrated adequate reproducibility and validity for assessing physical activity in these patients. Objective The aim of this study was to evaluate the reproducibility and validity of the Physical Activity Scale for the Elderly (PASE) questionnaire in patients after THA. Design This was a measurement study. Methods Fifty patients who had undergone THA (25 women, 25 men), with an average age of 68 years, were evaluated. Of these patients, 25 were assessed between 2 and 7 months after surgery (THAearly), and another 25 were assessed between 7 and 12 months after surgery (THAlate). Reproducibility of the PASE questionnaire was evaluated by administering the questionnaire on 2 different occasions. Construct validity of the PASE questionnaire was assessed by comparing the physical activity level reported by patients with that objectively recorded by a body-mounted accelerometer. Reproducibility was investigated with intraclass correlation coefficients (ICC [2,1]) for reliability and standard errors of measurement (SEM) for agreement. Validity was investigated with Pearson correlation coefficients (r). Results The ICC (2,1) for the PASE total score was .77 (95% confidence interval [95% CI]=.63, .86); the SEM was 23.0% (95% CI=19.2, 28.7). Validity correlation for the PASE total score was .38 (95% CI=.12, .60). No significant differences were found between THAearly and THAlate groups for reliability, agreement, and validity outcomes. Limitations Reproducibility of the PASE questionnaire may have been underestimated because the physical activity of patients was compared between 2 consecutive but different weeks. Reliability and validity analyses were underpowered. Conclusions Further study with a larger sample size is necessary to obtain precise reliability and validity estimates. Nevertheless, inadequate agreement calls into question the PASE questionnaire's ability to assess the physical activity level of patients after THA surgery.

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