Unstable Lumbar Vertebral Body Fracture During Total Hip Arthroplasty Using the Anterolateral Spine Approach in Diffuse Idiopathic Skeletal Hyperostosis: A Case Report and Literature Review

IF 2.1 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2025-10-01 DOI:10.1016/j.artd.2025.101874

Shinichi Ueki MD , Takeshi Shoji MD, PhD , Naosuke Kamei MD, PhD , Hiroki Kaneta MD , Hiroyuki Morita MD , Yosuke Kozuma MD , Naoto Nakayama MD , Nobuo Adachi MD, PhD

引用次数: 0

Abstract

This case report describes a 72-year-old man with diffuse idiopathic skeletal hyperostosis who sustained a rare unstable lumbar vertebral body fracture during total hip arthroplasty (THA) using the anterolateral supine approach. Despite a successful THA, the patient developed severe postoperative back pain, leading to the diagnosis of a lumbar vertebral fracture. Prompt posterior spinal fusion effectively relieved the pain. This report emphasizes recognizing high-risk patients, such as those with diffuse idiopathic skeletal hyperostosis complicated by obesity or kyphosis, before THA, and underscores the need for careful perioperative management and intraoperative positioning to reduce stress on the lumbar spine.

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采用脊柱前外侧入路治疗弥漫性特发性骨骼肥厚的全髋关节置换术中不稳定腰椎椎体骨折：1例报告和文献回顾

本病例报告描述了一名72岁的男性，患有弥漫性特发性骨骼肥大症，他在全髋关节置换术（THA）中使用仰卧前外侧入路时持续了罕见的不稳定腰椎椎体骨折。尽管THA手术成功，但患者术后出现严重的背部疼痛，导致诊断为腰椎骨折。及时的后路脊柱融合术有效地缓解了疼痛。本报告强调在THA术前识别高风险患者，如弥漫性特发性骨骼增生合并肥胖或后凸，并强调需要仔细的围手术期管理和术中定位，以减少腰椎的压力。

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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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.