Previous lumbar spine fusion increases the risk of dislocation following total hip arthroplasty in patients with hip-spine syndrome: a systematic review and meta-analysis.
Hip osteoarthritis
Hip-spine syndrome
Spinal stenosis
Spine fusion
Spinopelvic
Total hip arthroplasty
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
13 Sep 2024
13 Sep 2024
Historique:
received:
21
05
2024
accepted:
26
08
2024
medline:
14
9
2024
pubmed:
14
9
2024
entrez:
13
9
2024
Statut:
epublish
Résumé
With life expectancy on the rise, there has been an increase in patients with concomitant degenerative hip and spine pathology, defined as hip-spine syndrome (HSS). Patients affected by HSS may require both total hip arthroplasty (THA) and lumbar spinal fusion (LSF), although there is a paucity of data regarding how the sequential timing of these procedures may influence clinical outcomes. This study aims to compare complications and spinopelvic parameters in patients with HSS who underwent either LSF first or THA first. A systematic search of PubMed and Scopus was conducted for randomized and nonrandomized studies investigating complications and spinopelvic parameters in patients with HSS who had undergone THA and LSF. The Methodological Index for Non-Randomized Studies (MINORS) tool was utilized to assess the risk of bias in included studies. Relevant outcomes were pooled for meta-analysis. Eleven articles were included in this study. There was a significantly higher THA dislocation rate in patients who had undergone LSF first compared to those who had THA first (OR: 3.17, 95% CI 1.23-8.15, P = 0.02). No significant difference was found in terms of THA aseptic loosening (OR: 0.86; 95% CI 0.32-2.32, p = 0.77) and revision rate (OR: 1.18, 95% CI: 0.53-2.62) between these two groups. Individuals who received THA only showed a significantly lower risk of hip dislocation (OR: 0.14, 95% CI: 0.08-0.25, P < 0.00001) and THA revision (OR: 0.22, 95% CI: 0.14-0.36, P < 0.00001) compared to patients with a previous LSF. In HSS patients who underwent both LSF and THA, those who received LSF first displayed an increased risk of hip dislocation after subsequent THA. Additionally, the relative risks of dislocation and revision rate appeared significantly lower in patients who had undergone THA only when compared to THA patients with a history of previous LSF. Due to the impact of LSF on spinopelvic biomechanics, caution must be exercised when performing THA in individuals with instrumented spines. CRD42023412447. LL.
Sections du résumé
BACKGROUND
BACKGROUND
With life expectancy on the rise, there has been an increase in patients with concomitant degenerative hip and spine pathology, defined as hip-spine syndrome (HSS). Patients affected by HSS may require both total hip arthroplasty (THA) and lumbar spinal fusion (LSF), although there is a paucity of data regarding how the sequential timing of these procedures may influence clinical outcomes. This study aims to compare complications and spinopelvic parameters in patients with HSS who underwent either LSF first or THA first.
METHODS
METHODS
A systematic search of PubMed and Scopus was conducted for randomized and nonrandomized studies investigating complications and spinopelvic parameters in patients with HSS who had undergone THA and LSF. The Methodological Index for Non-Randomized Studies (MINORS) tool was utilized to assess the risk of bias in included studies. Relevant outcomes were pooled for meta-analysis.
RESULTS
RESULTS
Eleven articles were included in this study. There was a significantly higher THA dislocation rate in patients who had undergone LSF first compared to those who had THA first (OR: 3.17, 95% CI 1.23-8.15, P = 0.02). No significant difference was found in terms of THA aseptic loosening (OR: 0.86; 95% CI 0.32-2.32, p = 0.77) and revision rate (OR: 1.18, 95% CI: 0.53-2.62) between these two groups. Individuals who received THA only showed a significantly lower risk of hip dislocation (OR: 0.14, 95% CI: 0.08-0.25, P < 0.00001) and THA revision (OR: 0.22, 95% CI: 0.14-0.36, P < 0.00001) compared to patients with a previous LSF.
CONCLUSIONS
CONCLUSIONS
In HSS patients who underwent both LSF and THA, those who received LSF first displayed an increased risk of hip dislocation after subsequent THA. Additionally, the relative risks of dislocation and revision rate appeared significantly lower in patients who had undergone THA only when compared to THA patients with a history of previous LSF. Due to the impact of LSF on spinopelvic biomechanics, caution must be exercised when performing THA in individuals with instrumented spines.
PROSPERO ID
UNASSIGNED
CRD42023412447.
LEVEL OF EVIDENCE
METHODS
LL.
Identifiants
pubmed: 39272046
doi: 10.1186/s12891-024-07823-1
pii: 10.1186/s12891-024-07823-1
doi:
Types de publication
Journal Article
Systematic Review
Meta-Analysis
Langues
eng
Sous-ensembles de citation
IM
Pagination
732Subventions
Organisme : Italian Workers' Compensation Authority (INAIL)
ID : BRIC-2021 ID4
Organisme : Italian Workers' Compensation Authority (INAIL)
ID : BRIC-2021 ID4
Organisme : Italian Workers' Compensation Authority (INAIL)
ID : BRIC-2021 ID4
Organisme : Italian Workers' Compensation Authority (INAIL)
ID : BRIC-2021 ID4
Organisme : Italian Workers' Compensation Authority (INAIL)
ID : BRIC-2021 ID4
Informations de copyright
© 2024. The Author(s).
Références
Kalichman L, Cole R, Kim DH, Li L, Suri P, Guermazi A, Hunter DJ. Spinal stenosis prevalence and association with symptoms: the Framingham study. Spine J. 2009;9(7):545–50.
doi: 10.1016/j.spinee.2009.03.005
pubmed: 19398386
pmcid: 3775665
Fan Z, Yan L, Liu H, Li X, Fan K, Liu Q, Li JJ, Wang B. The prevalence of hip osteoarthritis: a systematic review and meta-analysis. Arthritis Res Therapy. 2023;25(1).
Cannata F, Laudisio A, Ambrosio L, Vadalà G, Russo F, Zampogna B, Napoli N, Papalia R. The association of body mass index with surgical time is mediated by comorbidity in patients undergoing total hip arthroplasty. J Clin Med. 2021;10(23).
Buckland AJ, Miyamoto R, Patel RD, Slover J, Razi AE. Differentiating hip pathology from lumbar spine pathology: key points of evaluation and management. J Am Acad Orthop Surg. 2017;25(2):e23–34.
doi: 10.5435/JAAOS-D-15-00740
pubmed: 28045713
Ma X-l, Zhao X-w, Ma J-x, Li F, Wang Y, Lu B. Effectiveness of surgery versus conservative treatment for lumbar spinal stenosis: a system review and meta-analysis of randomized controlled trials. Int J Surg. 2017;44:329–38.
doi: 10.1016/j.ijsu.2017.07.032
pubmed: 28705591
Mallio CA, Vadalà G, Russo F, Bernetti C, Ambrosio L, Zobel BB, Quattrocchi CC, Papalia R, Denaro V. Novel magnetic resonance imaging tools for the diagnosis of degenerative disc disease: a narrative review. Diagnostics. 2022;12(2).
Murphy NJ, Eyles JP, Hunter DJ. Hip osteoarthritis: etiopathogenesis and implications for management. Adv Therapy. 2016;33(11):1921–46.
doi: 10.1007/s12325-016-0409-3
Onggo JR, Nambiar M, Onggo JD, Phan K, Ambikaipalan A, Babazadeh S, Hau R. Clinical outcomes and complication profile of total hip arthroplasty after lumbar spine fusion: a meta-analysis and systematic review. Eur Spine J. 2019;29(2):282–94.
doi: 10.1007/s00586-019-06201-z
pubmed: 31676947
Louette S, Wignall A, Pandit H. Spinopelvic relationship and its impact on total hip arthroplasty. Arthroplasty Today. 2022;17:87–93.
doi: 10.1016/j.artd.2022.07.001
pubmed: 36042938
pmcid: 9420424
Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160.
doi: 10.1136/bmj.n160
pubmed: 33781993
pmcid: 8005925
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003;73(9):712–6.
doi: 10.1046/j.1445-2197.2003.02748.x
pubmed: 12956787
Sing DC, Barry JJ, Aguilar TU, Theologis AA, Patterson JT, Tay BK, Vail TP, Hansen EN. Prior lumbar spinal arthrodesis increases risk of prosthetic-related complication in total hip arthroplasty. J Arthroplast. 2016;31(9):227–e232221.
doi: 10.1016/j.arth.2016.02.069
Di Martino A, Bordini B, Ancarani C, Viceconti M, Faldini C. Does total hip arthroplasty have a higher risk of failure in patients who undergo lumbar spinal fusion? Bone Joint J. 2021;103–B(3):486–91.
doi: 10.1302/0301-620X.103B3.BJJ-2020-1209.R1
pubmed: 33641423
Goyal DKC, Divi SN, Vaccaro AR, Hozack WJ. Stability in direct lateral vs direct anterior total hip arthroplasty in the context of lumbar spinal fusion. J Am Acad Orthop Surg. 2022;30(7):e628–39.
pubmed: 35139054
Furuhashi H, Yamato Y, Hoshino H, Shimizu Y, Hasegawa T, Yoshida G, Banno T, Arima H, Oe S, Ushirozako H, et al. Dislocation rate and its risk factors in total hip arthroplasty with concurrent extensive spinal corrective fusion with pelvic fixation for adult spinal deformity. Eur J Orthop Surg Traumatol. 2020;31(2):283–90.
doi: 10.1007/s00590-020-02764-6
pubmed: 32816054
Parilla FW, Shah RR, Gordon AC, Mardjetko SM, Cipparrone NE, Goldstein WM, Goldstein JM. Does it matter: total hip arthroplasty or lumbar spinal fusion first? Preoperative sagittal spinopelvic measurements guide patient-specific surgical strategies in patients requiring both. J Arthroplast. 2019;34(11):2652–62.
doi: 10.1016/j.arth.2019.05.053
Grammatopoulos G, Dhaliwal K, Pradhan R, Parker SJM, Lynch K, Marshall R, Andrade AJ. Does lumbar arthrodesis compromise outcome of total hip arthroplasty? HIP Int. 2018;29(5):496–503.
doi: 10.1177/1120700018793373
pubmed: 30124077
York PJ, McGee AW, Dean CS, Hellwinkel JE, Kleck CJ, Dayton MR, Hogan CA. The relationship of pelvic incidence to post-operative total hip arthroplasty dislocation in patients with lumbar fusion. Int Orthop. 2018;42(10):2301–6.
doi: 10.1007/s00264-018-3955-2
pubmed: 29704024
Perfetti DC, Schwarzkopf R, Buckland AJ, Paulino CB, Vigdorchik JM. Prosthetic dislocation and revision after primary total hip arthroplasty in lumbar fusion patients: a propensity score matched-pair analysis. J Arthroplast. 2017;32(5):1635–e16401631.
doi: 10.1016/j.arth.2016.11.029
Barry JJ, Sing DC, Vail TP, Hansen EN. Early outcomes of primary total hip arthroplasty after prior lumbar spinal fusion. J Arthroplast. 2017;32(2):470–4.
doi: 10.1016/j.arth.2016.07.019
Zhang H, Yu H, Zhang M, Huang Z, Xiang L, Liu X, Wang Z. Selection of spinal surgery and hip replacement sequence in patients with both degenerative scoliosis and hip disease. J Int Med Res. 2020;48(12).
Khan IA, Cozzarelli NF, Sutton R, Ciesielka K-A, Arshi A, Fillingham YA. Patients requiring both total hip arthroplasty and lumbar spinal fusion have lower hip functional outcome scores: a matched case-control study. J Arthroplast. 2024;39(5):1291–7.
doi: 10.1016/j.arth.2023.11.004
Lazennec JY, Clark IC, Folinais D, Tahar IN, Pour AE. What is the impact of a spinal fusion on acetabular implant orientation in functional standing and sitting positions? J Arthroplast. 2017;32(10):3184–90.
doi: 10.1016/j.arth.2017.04.051
Devin CJ, McCullough KA, Morris BJ, Yates AJ, Kang JD. Hip-spine syndrome. J Am Acad Orthop Surg. 2012;20(7):434–42.
doi: 10.5435/JAAOS-20-07-434
pubmed: 22751162
Lee SH, Lim CW, Choi KY, Jo S. Effect of spine-pelvis relationship in total hip arthroplasty. Hip Pelvis. 2019;31(1).
Malkani AL, Himschoot KJ, Ong KL, Lau EC, Baykal D, Dimar JR, Glassman SD, Berry DJ. Does timing of primary total hip arthroplasty prior to or after lumbar spine fusion have an effect on dislocation and revision rates? J Arthroplast. 2019;34(5):907–11.
doi: 10.1016/j.arth.2019.01.009
Welling S, Smith S, Yoo J, Philipp T, Mildren M, Kagan R. Is timing of total hip arthroplasty and lumbar spine fusion associated with risk of hip dislocation? Arthroplasty Today. 2023;23.
Eftekhary N, Shimmin A, Lazennec JY, Buckland A, Schwarzkopf R, Dorr LD, Mayman D, Padgett D, Vigdorchik J. A systematic approach to the hip-spine relationship and its applications to total hip arthroplasty. Bone Joint J. 2019;101–B(7):808–16.
doi: 10.1302/0301-620X.101B7.BJJ-2018-1188.R1
pubmed: 31256658
Esposito CI, Miller TT, Kim HJ, Barlow BT, Wright TM, Padgett DE, Jerabek SA, Mayman DJ. Does degenerative lumbar spine disease influence femoroacetabular flexion in patients undergoing total hip arthroplasty? Clin Orthop Relat Res. 2016;474(8):1788–97.
doi: 10.1007/s11999-016-4787-2
pubmed: 27020429
pmcid: 4925410
Sultan AA, Khlopas A, Piuzzi NS, Chughtai M, Sodhi N, Mont MA. The impact of spino-pelvic alignment on total hip arthroplasty outcomes: a critical analysis of current evidence. J Arthroplast. 2018;33(5):1606–16.
doi: 10.1016/j.arth.2017.11.021
Morimoto T, Kobayashi T, Tsukamoto M, Hirata H, Yoshihara T, Toda Y, Mawatari M. Hip–spine syndrome: a focus on the pelvic incidence in hip disorders. J Clin Med. 2023;12(5).
Phan D, Bederman SS, Schwarzkopf R. The influence of sagittal spinal deformity on anteversion of the acetabular component in total hip arthroplasty. Bone Joint J. 2015;97–B(8):1017–23.
doi: 10.1302/0301-620X.97B8.35700
pubmed: 26224815
DelSole EM, Vigdorchik JM, Schwarzkopf R, Errico TJ, Buckland AJ. Total hip arthroplasty in the spinal deformity population: does degree of sagittal deformity affect rates of safe zone placement, instability, or revision? J Arthroplast. 2017;32(6):1910–7.
Boyer B, Philippot R, Geringer J, Farizon F. Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. Int Orthop. 2011;36(3):511–8.
doi: 10.1007/s00264-011-1289-4
pubmed: 21698430
pmcid: 3291786
Eneqvist T, Nemes S, Brisby H, Fritzell P, Garellick G, Rolfson O. Lumbar surgery prior to total hip arthroplasty is associated with worse patient-reported outcomes. Bone Joint J. 2017;99–B(6):759–65.
doi: 10.1302/0301-620X.99B6.BJJ-2016-0577.R2
pubmed: 28566394