Patients Undergoing Multilevel Thoracolumbar Fusions With Prior Total Hip Arthroplasty Are at Higher Risk for Prosthetic Dislocations
Patients with prior THA undergoing multilevel fusions experienced more dislocations, higher spinal revisions, less frequent discharge home, longer hospital length of stays, and higher 90-day readmission rates. They had less improvement in ∆VAS Back Scores at 1 year, lower lumbar lordosis, and greater anteversion. Patients with existing THA undergoing multilevel fusion have more abnormal spinal sagittal balance and higher risk of dislocation despite higher baseline and postoperative acetabular anteversion.
Authors
- Luke Kowal (ORCID: https://orcid.org/0000-0002-1542-5680)
- Alexander Richard Vaccaro (ORCID: https://orcid.org/0000-0002-8073-0796)
- Khoa S. Tran (ORCID: https://orcid.org/0000-0002-2645-5869)
- José A. Canseco (ORCID: https://orcid.org/0000-0002-2152-5725)
- Christopher K. Kepler (ORCID: https://orcid.org/0000-0002-0996-4346)
- Michael Meghpara
- Tariq Z. Issa (ORCID: https://orcid.org/0000-0002-0978-5225)
- Tristan B. Fried
- Jonathan Ledesma (ORCID: https://orcid.org/0000-0002-5903-7989)
- Alan S. Hilibrand (ORCID: https://orcid.org/0000-0001-8811-9687)
- Sandy Li (ORCID: https://orcid.org/0000-0003-3284-7719)
- Olivia Opara
- Yunsoo Lee (ORCID: https://orcid.org/0000-0002-6039-5142)
- Hamd Mahmood
- D. Greg Anderson
- Gregory D. Schroeder
- Ashley Wong
- Mark J. Lambrechts
Institutions
- Schlumberger (British Virgin Islands) (VG)
- Rothman Institute (US)
- Ordem dos Médicos (PT)
Publication Details
- Journal
- Journal of the American Academy of Orthopaedic Surgeons
- Published
- 2025-02-06
- DOI
- https://doi.org/10.5435/jaaos-d-24-00606
- Citations
- 1
- Primary Topic
- Orthopaedic implants and arthroplasty
- Type
- article
- Field-Weighted Citation Impact
- 2.01