Coexistent lumbar disorders complicate hip arthroplasty

Coexistent lumbar disorders complicate hip arthroplasty
Patients undergoing total hip arthroplasty who have coexistent lumbar spine disorders do not report as much improvement in pain and function after arthroplasty compared with patients without lumbar disorders, according to a study published in the May issue of The Spine Journal.

(HealthDay) -- Patients undergoing total hip arthroplasty (THA) who have coexistent lumbar spine disorders (LSDs) do not report as much improvement in pain and function after arthroplasty compared with patients without lumbar disorders, according to a study published in the May issue of The Spine Journal.

Heidi Prather, D.O., from the Washington University School of Medicine in St. Louis, and colleagues retrospectively examined 3,206 who underwent THA from 1996 to 2008. To identify which patients were also evaluated by a spine specialist, the International Classification of Diseases, Ninth Revision billing codes for LSDs were cross-referenced with patients who had undergone a THA. Functional outcomes were measured using the modified Harris Score (mHHS) and University of California Los Angeles (UCLA) hip questionnaire, and physician medical charges were assessed.

The researchers found that a higher number of LSD patients were significantly older (64.5 years) compared with patients treated with THA alone (58.5 years). Compared with the THA + LSD group, patients in the THA alone group had significantly greater improvement in the mHHS, UCLA score, and pain. On average, patients in the THA + LSD group incurred significantly more in charges per episode of care ($2,668) and significantly more days per episode of care, compared to patients with THA alone.

"Patients undergoing THA alone had greater improvement in function and with fewer medical charges as compared with patients undergoing a THA and treatment for an LSD," the authors write.

Several authors disclosed financial ties to the pharmaceutical and medical device industries.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Hip fracture surgery type impacts future fracture risk

Mar 17, 2012

(HealthDay) -- Patients with a primary proximal femoral fracture who undergo closed reduction and percutaneous pinning have a significantly increased risk of subsequent contralateral hip fracture compared ...

Oxiplex improves outcomes after lumbar discectomy

Apr 24, 2012

(HealthDay) -- The use of Oxiplex gel (containing carboxymethylcellulose, polyethylene oxide, and calcium) to coat the surgical site during discectomy procedures for the treatment of lumbar disc herniation ...

Recommended for you

African leaders to launch $100m Ebola emergency battle plan

43 seconds ago

The head of the World Health Organization and presidents of the west African countries suffering the world's worst-ever Ebola outbreak were due to meet in Guinea on Friday to launch a $100 million emergency response plan.

Female baby boomers with asthma? You may need help

3 hours ago

Women over the age of 65 face numerous barriers to good health: an increased risk for obesity, greater struggles against poverty and higher rates of asthma with worse health outcomes. An article published in the August issue ...

New guidelines help keep asthma out of 'yellow zone'

3 hours ago

If you have asthma, you may have an asthma action plan with a "stoplight system" to help you recognize and respond to changes and understand when symptoms are getting worse and need more attention. If you're in the green ...

User comments