Impact of Preoperative Total Knee Arthroplasty on Radiological and Clinical Outcomes of Spinal Fusion for Concurrent Knee Osteoarthritis and Degenerative Lumbar Spinal Diseases

被引:2
作者
Kim, Hong Jin [1 ]
Yang, Jae Hyuk [2 ]
Chang, Dong-Gune [1 ]
Suh, Seung Woo [2 ]
Jo, Hoon [1 ]
Kim, Sang-Il [3 ]
Song, Kwang-Sup [4 ]
Cho, Woojin [5 ]
机构
[1] Inje Univ, Sanggye Paik Hosp, Coll Med, Dept Orthoped Surg, Seoul 01757, South Korea
[2] Korea Univ, Guro Hosp, Coll Med, Dept Orthoped Surg, Seoul 08308, South Korea
[3] Catholic Univ Korea, Coll Med, Dept Orthoped Surg, Seoul 06591, South Korea
[4] Chung Ang Univ, Chung Ang Univ Hosp, Coll Med, Dept Orthoped Surg, Seoul 06973, South Korea
[5] Albert Einstein Coll Med, Montefiore Med Ctr, Dept Orthoped Surg, Bronx, NY 10467 USA
关键词
spinal fusion; total knee arthroplasty; lumbar lordosis; sagittal spinopelvic parameters; clinical outcome; HIP; ALIGNMENT; SURGERY;
D O I
10.3390/jcm10194475
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Concurrent knee osteoarthritis (KOA) and degenerative lumbar spinal disease (LSD) has increased, but the total knee arthroplasty (TKA) effect on degenerative LSD remains unclear. The aim of this study was to retrospectively analyze to compare radiological and clinical outcomes between spinal fusion only and preoperative TKA with spinal fusion for the patients with concurrent KOA and degenerative LSD. A total of 72 patients with concurrent KOA and degenerative LSDs who underwent spinal fusion at less than three levels were divided in two groups: non-TKA group (n = 50) and preoperative TKA group (n = 22). Preoperative lumbar lordosis (LL) was significantly lower in the preoperative TKA group than the non-TKA group (p < 0.05). Significantly higher preoperative pelvic incidence (PI), PI/LL mismatch, and pelvic tilt (PT) occurred in preoperative TKA group than non-TKA group (all p < 0.05). There was significant improvement of postoperative Oswestry Disability Index and leg Visual Analog Scale in the preoperative TKA group (all p < 0.01). Preoperative TKA could be a benefit for in proper correction of sagittal spinopelvic alignment by spinal fusion. Therefore, preoperative TKA could be considered a preceding surgical option for patients with severe sagittal spinopelvic parameters in concurrent KOA and degenerative LSD.
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页数:10
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