Does the Order of Lumbar Surgery and Total Joint Replacement Impact Total Joint Replacement Outcomes?

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Anthony M Steinle, Andrew J Croft, Alexander J Volkmar, Eric S Dilbone, Hui Nian, Jeffrey W Chen, Hani Chanbour, Emil Varas-Rodriguez, Wilson E Vaughan, Scott L Zuckerman, Byron F Stephens, J Ryan Martin, Amir M Abtahi

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Abstract

For patients requiring both total joint replacement (TJR) and lumbar spine surgery, it is unknown whether surgical order influences TJR outcomes. The authors sought to determine if total knee (TKA) or total hip (THA) arthroplasty outcomes differed between patients who underwent TKA/THA before versus after lumbar surgery. A prospectively collected registry was queried for patients who underwent TKA or THA within 3 years of lumbar spine surgery. Patients were divided into TKA before versus after lumbar surgery, and THA before versus after lumbar surgery. Statistical analysis was performed to compare postoperative outcomes. In both the TKA and THA cohorts, no differences could be detected between before and after groups in any postoperative outcome, including knee/hip pain, complications, and reoperations. The order of lumbar and TJR surgeries does not appear to influence TJR outcomes. The severity of symptoms, patient preference, and surgeon discretion should dictate surgical order. (Journal of Surgical Orthopaedic Advances 34(2):098-101, 2025).

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腰椎手术和全关节置换术的顺序会影响全关节置换术的结果吗？

对于同时需要全关节置换术（TJR）和腰椎手术的患者，尚不清楚手术顺序是否会影响TJR的结果。作者试图确定在腰椎手术前后进行全膝关节（TKA）或全髋关节（THA）置换的患者的结果是否不同。前瞻性地收集了3年内腰椎手术中接受全髋关节置换术或全髋关节置换术的患者。将患者分为腰椎手术前与手术后的TKA，以及术前与术后的THA。对术后结果进行统计学分析比较。在全髋关节置换术和全髋关节置换术两组中，在任何术后结果，包括膝关节/髋关节疼痛、并发症和再手术方面，均未发现前后组之间的差异。腰椎和TJR手术的顺序似乎不影响TJR的预后。症状的严重程度、患者偏好和外科医生的判断应决定手术顺序。[j] .外科骨科进展34(2):098- 101,2025。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of surgical orthopaedic advances

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