Worse Outcomes Seen for Severe Bilateral Hip OA in Adult Spinal Deformity
By Elana Gotkine HealthDay Reporter
WEDNESDAY, May 15, 2024 -- For patients with adult spinal deformity (ASD), those with severe bilateral hip osteoarthritis (OA) have worse outcomes, according to a study published online April 29 in the Journal of Bone & Joint Surgery.
Bassel G. Diebo, M.D., from the Warren Alpert Medical School of Brown University in East Providence, Rhode Island, and colleagues examined the prevalence and impact of hip OA on alignment and patient-reported outcome measures (PROMs) among patients with ASD who underwent L1-pelvis or longer fusions. Radiographic parameters and PROMs were compared for Hip-Spine (hip Kellgren-Lawrence [KL] grade 3 or 4 bilaterally), Unilateral (UL)-Hip (hip KL grade 3 or 4 unilaterally), or Spine (hip KL grade 1 or 2 bilaterally).
Overall, 34 percent of the 520 patients with ASD who met the inclusion criteria for an OA prevalence analysis had severe bilateral hip OA; unilateral or bilateral hip arthroplasty was performed in 8.7 percent. All data components were available for a subset of 165 patients: 68 Hip-Spine, 32 UL-Hip, and 65 Spine. The researchers found that the groups had similar lumbar lordosis at one year, but the Hip-Spine patients had a worse sagittal vertebral axis measurement. At baseline and one year postoperatively, Hip-Spine patients also had worse Veterans RAND-12 Physical Component Summary scores.
"Concomitant hip and spine disease are common, yet they remain challenging for joint arthroplasty and spine surgeons," the authors write. "Further research is required to elucidate how to optimize outcomes in this complex patient population."
The study was partially funded by DePuy Synthes Spine, NuVasive, and K2/Stryker. Several authors disclosed ties to the medical device industry.
Abstract/Full Text (subscription or payment may be required)
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2024 HealthDay. All rights reserved.
Posted May 2024
Read this next
Small Number of Procedures Account for Large Number of Opioid Prescriptions
FRIDAY, June 28, 2024 -- A small number of surgical procedures, including orthopedic procedures and cesarean delivery, account for a large proportion of opioid prescriptions...
Cervical Spine Injury Prediction Rule in Children Can Guide Imaging Use
TUESDAY, June 18, 2024 -- A cervical spine injury prediction rule can assist physicians in determining which children should undergo imaging on arrival to the emergency department...
Patients Can Take GLP-1 RA Medications Before Surgery
WEDNESDAY, June 12, 2024 -- Glucagon-like peptide-1 receptor agonist (GLP-1 RA) medications do slow gastric emptying but not by enough to warrant discontinuing medications before...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.