Abnormally High Dislocation Rates of Total Hip Arthroplasty After Spinal Deformity Surgery
The purpose of this study was to determine the prevalence of concurrent spinopelvic fusion and THA and identify the risk of THA dislocation in patients with concurrent spinopelvic fusion. We retrospectively reviewed an institutional database of spinal deformity patients and the Humana Inc data set t...
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| Veröffentlicht in: | The Journal of arthroplasty 2016-12, Vol.31 (12), p.2884-2885 |
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| creator | Bedard, Nicholas A. Martin, Christopher T. Slaven, Sean E. Pugely, Andrew J. Mendoza-Lattes, Sergio A. Callaghan, John J. |
| description | The purpose of this study was to determine the prevalence of concurrent spinopelvic fusion and THA and identify the risk of THA dislocation in patients with concurrent spinopelvic fusion.
We retrospectively reviewed an institutional database of spinal deformity patients and the Humana Inc data set to identify patients with concurrent THA and spinopelvic fusion. The prevalence of concurrent THA and spinopelvic fusion was identified, as was the risk of dislocation for all cohorts.
Of 328 patients with spinopelvic fusions at our institution, 15 patients (4.6%) were found to have concurrent THA. Similarly, within the Humana database among 1049 patients with spinopelvic fusion, 4.6% had a concurrent THA. Among the 58,692 THA patients identified, only 0.1% had a concurrent spinopelvic fusion. A THA dislocation was observed in 3 of 15 patients (20.0%) and 3 of 18 THA (16.7%) within our institutional review. Within the Humana database, 8.3% of patients with THA and spinopelvic fusion went on to have a dislocation of their THA compared to 2.9% of patients with THA and no history of spinopelvic fusion (relative risk: 2.9 [1.2-7.6]).
Among patients with spinopelvic fusion, the prevalence of concurrent THA is 4.6%, and among primary THA patients, the prevalence of concurrent spinopelvic fusion is 0.1%. An alarmingly high THA dislocation rate has been demonstrated among THA patients with concurrent spinopelvic fusion at our institution (20%) and within a large national database (8.3%). |
| doi_str_mv | 10.1016/j.arth.2016.07.049 |
| format | Article |
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We retrospectively reviewed an institutional database of spinal deformity patients and the Humana Inc data set to identify patients with concurrent THA and spinopelvic fusion. The prevalence of concurrent THA and spinopelvic fusion was identified, as was the risk of dislocation for all cohorts.
Of 328 patients with spinopelvic fusions at our institution, 15 patients (4.6%) were found to have concurrent THA. Similarly, within the Humana database among 1049 patients with spinopelvic fusion, 4.6% had a concurrent THA. Among the 58,692 THA patients identified, only 0.1% had a concurrent spinopelvic fusion. A THA dislocation was observed in 3 of 15 patients (20.0%) and 3 of 18 THA (16.7%) within our institutional review. Within the Humana database, 8.3% of patients with THA and spinopelvic fusion went on to have a dislocation of their THA compared to 2.9% of patients with THA and no history of spinopelvic fusion (relative risk: 2.9 [1.2-7.6]).
Among patients with spinopelvic fusion, the prevalence of concurrent THA is 4.6%, and among primary THA patients, the prevalence of concurrent spinopelvic fusion is 0.1%. An alarmingly high THA dislocation rate has been demonstrated among THA patients with concurrent spinopelvic fusion at our institution (20%) and within a large national database (8.3%).</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2016.07.049</identifier><identifier>PMID: 27612605</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - statistics & numerical data ; dislocation ; Female ; hip ; Hip Dislocation - epidemiology ; Hip Dislocation - etiology ; Humans ; Iowa - epidemiology ; Joint Dislocations ; Male ; Middle Aged ; Pelvic Bones - surgery ; Prevalence ; Retrospective Studies ; Spinal Fusion - adverse effects ; Spinal Fusion - statistics & numerical data ; spine ; spinopelvic fusion ; total hip arthroplasty</subject><ispartof>The Journal of arthroplasty, 2016-12, Vol.31 (12), p.2884-2885</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-110b94054a76aaf9392e7379fed151f851e2c83eeac235d3df47b7ec6f17c7a43</citedby><cites>FETCH-LOGICAL-c422t-110b94054a76aaf9392e7379fed151f851e2c83eeac235d3df47b7ec6f17c7a43</cites><orcidid>0000-0002-5480-9150</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2016.07.049$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27612605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bedard, Nicholas A.</creatorcontrib><creatorcontrib>Martin, Christopher T.</creatorcontrib><creatorcontrib>Slaven, Sean E.</creatorcontrib><creatorcontrib>Pugely, Andrew J.</creatorcontrib><creatorcontrib>Mendoza-Lattes, Sergio A.</creatorcontrib><creatorcontrib>Callaghan, John J.</creatorcontrib><title>Abnormally High Dislocation Rates of Total Hip Arthroplasty After Spinal Deformity Surgery</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>The purpose of this study was to determine the prevalence of concurrent spinopelvic fusion and THA and identify the risk of THA dislocation in patients with concurrent spinopelvic fusion.
We retrospectively reviewed an institutional database of spinal deformity patients and the Humana Inc data set to identify patients with concurrent THA and spinopelvic fusion. The prevalence of concurrent THA and spinopelvic fusion was identified, as was the risk of dislocation for all cohorts.
Of 328 patients with spinopelvic fusions at our institution, 15 patients (4.6%) were found to have concurrent THA. Similarly, within the Humana database among 1049 patients with spinopelvic fusion, 4.6% had a concurrent THA. Among the 58,692 THA patients identified, only 0.1% had a concurrent spinopelvic fusion. A THA dislocation was observed in 3 of 15 patients (20.0%) and 3 of 18 THA (16.7%) within our institutional review. Within the Humana database, 8.3% of patients with THA and spinopelvic fusion went on to have a dislocation of their THA compared to 2.9% of patients with THA and no history of spinopelvic fusion (relative risk: 2.9 [1.2-7.6]).
Among patients with spinopelvic fusion, the prevalence of concurrent THA is 4.6%, and among primary THA patients, the prevalence of concurrent spinopelvic fusion is 0.1%. An alarmingly high THA dislocation rate has been demonstrated among THA patients with concurrent spinopelvic fusion at our institution (20%) and within a large national database (8.3%).</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - statistics & numerical data</subject><subject>dislocation</subject><subject>Female</subject><subject>hip</subject><subject>Hip Dislocation - epidemiology</subject><subject>Hip Dislocation - etiology</subject><subject>Humans</subject><subject>Iowa - epidemiology</subject><subject>Joint Dislocations</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pelvic Bones - surgery</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Spinal Fusion - adverse effects</subject><subject>Spinal Fusion - statistics & numerical data</subject><subject>spine</subject><subject>spinopelvic fusion</subject><subject>total hip arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kElPwzAQhS0EgrL8AQ4oRy4JXuNE4lJRNgkJieXCxXKdMbhK42C7SP33uCpw5DSjeW_eaD6ETgmuCCb1xaLSIX1UNPcVlhXm7Q6aEMFo2XBc76IJbhpWCo7ZATqMcYExIULwfXRAZU1ojcUEvU3ngw9L3ffr4s69fxQzF3tvdHJ-KJ50glh4W7z4pPusj8U0Xwx-7HVM62JqE4TieXRDVmdgc5DL4-dVeIewPkZ7VvcRTn7qEXq9uX65uisfHm_vr6YPpeGUppIQPG85FlzLWmvbspaCZLK10BFBbCMIUNMwAG0oEx3rLJdzCaa2RBqpOTtC59vcMfjPFcSkli4a6Hs9gF9FRRrWSk64rLOVbq0m-BgDWDUGt9RhrQhWG6ZqoTZM1YapwlJlpnnp7Cd_NV9C97fyCzEbLrcGyF9-OQgqGgeDgc4FMEl13v2X_w12K4iC</recordid><startdate>201612</startdate><enddate>201612</enddate><creator>Bedard, Nicholas A.</creator><creator>Martin, Christopher T.</creator><creator>Slaven, Sean E.</creator><creator>Pugely, Andrew J.</creator><creator>Mendoza-Lattes, Sergio A.</creator><creator>Callaghan, John J.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5480-9150</orcidid></search><sort><creationdate>201612</creationdate><title>Abnormally High Dislocation Rates of Total Hip Arthroplasty After Spinal Deformity Surgery</title><author>Bedard, Nicholas A. ; Martin, Christopher T. ; Slaven, Sean E. ; Pugely, Andrew J. ; Mendoza-Lattes, Sergio A. ; Callaghan, John J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-110b94054a76aaf9392e7379fed151f851e2c83eeac235d3df47b7ec6f17c7a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - statistics & numerical data</topic><topic>dislocation</topic><topic>Female</topic><topic>hip</topic><topic>Hip Dislocation - epidemiology</topic><topic>Hip Dislocation - etiology</topic><topic>Humans</topic><topic>Iowa - epidemiology</topic><topic>Joint Dislocations</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pelvic Bones - surgery</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Spinal Fusion - adverse effects</topic><topic>Spinal Fusion - statistics & numerical data</topic><topic>spine</topic><topic>spinopelvic fusion</topic><topic>total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bedard, Nicholas A.</creatorcontrib><creatorcontrib>Martin, Christopher T.</creatorcontrib><creatorcontrib>Slaven, Sean E.</creatorcontrib><creatorcontrib>Pugely, Andrew J.</creatorcontrib><creatorcontrib>Mendoza-Lattes, Sergio A.</creatorcontrib><creatorcontrib>Callaghan, John J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bedard, Nicholas A.</au><au>Martin, Christopher T.</au><au>Slaven, Sean E.</au><au>Pugely, Andrew J.</au><au>Mendoza-Lattes, Sergio A.</au><au>Callaghan, John J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abnormally High Dislocation Rates of Total Hip Arthroplasty After Spinal Deformity Surgery</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2016-12</date><risdate>2016</risdate><volume>31</volume><issue>12</issue><spage>2884</spage><epage>2885</epage><pages>2884-2885</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>The purpose of this study was to determine the prevalence of concurrent spinopelvic fusion and THA and identify the risk of THA dislocation in patients with concurrent spinopelvic fusion.
We retrospectively reviewed an institutional database of spinal deformity patients and the Humana Inc data set to identify patients with concurrent THA and spinopelvic fusion. The prevalence of concurrent THA and spinopelvic fusion was identified, as was the risk of dislocation for all cohorts.
Of 328 patients with spinopelvic fusions at our institution, 15 patients (4.6%) were found to have concurrent THA. Similarly, within the Humana database among 1049 patients with spinopelvic fusion, 4.6% had a concurrent THA. Among the 58,692 THA patients identified, only 0.1% had a concurrent spinopelvic fusion. A THA dislocation was observed in 3 of 15 patients (20.0%) and 3 of 18 THA (16.7%) within our institutional review. Within the Humana database, 8.3% of patients with THA and spinopelvic fusion went on to have a dislocation of their THA compared to 2.9% of patients with THA and no history of spinopelvic fusion (relative risk: 2.9 [1.2-7.6]).
Among patients with spinopelvic fusion, the prevalence of concurrent THA is 4.6%, and among primary THA patients, the prevalence of concurrent spinopelvic fusion is 0.1%. An alarmingly high THA dislocation rate has been demonstrated among THA patients with concurrent spinopelvic fusion at our institution (20%) and within a large national database (8.3%).</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27612605</pmid><doi>10.1016/j.arth.2016.07.049</doi><tpages>2</tpages><orcidid>https://orcid.org/0000-0002-5480-9150</orcidid></addata></record> |
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| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - statistics & numerical data dislocation Female hip Hip Dislocation - epidemiology Hip Dislocation - etiology Humans Iowa - epidemiology Joint Dislocations Male Middle Aged Pelvic Bones - surgery Prevalence Retrospective Studies Spinal Fusion - adverse effects Spinal Fusion - statistics & numerical data spine spinopelvic fusion total hip arthroplasty |
| title | Abnormally High Dislocation Rates of Total Hip Arthroplasty After Spinal Deformity Surgery |
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