The Impact of Previous Lumbar Spine Surgery on Primary Total Hip Arthroplasty: Minimum 2-Year Outcomes Controlling for Approach and Technology
Authors
Quesada-Jimenez R, Schab AR, Kahana-Rojkind AH, Walsh EG, Domb BG
Journal
Journal of Arthroplasty, 2025
Objective
To understand how a history of lumbar spine surgery (LSS) affects outcomes and complications after total hip arthroplasty (THA).
Methodology
A study of 244 THA patients with prior LSS compared to a matched group without spine surgery, tracking patient-reported outcomes (PROs) and revision surgery rates, with a minimum of 2 years of follow-up.
Key Findings
- Patients with prior LSS showed similar improvements after THA but had lower final outcome scores.
- The LSS group was less likely to meet symptom relief targets.
- They were 24 times more likely to require revision surgery and 20.8 times more likely to need revision due to instability.
Conclusion
While hip replacement can be successful for patients with a history of spine surgery, they face a higher risk of complications and may not experience the same level of recovery as those without prior spine issues.
What Does This Mean For Patients
If you've had previous spine surgery and are considering a hip replacement, you can still benefit from the surgery, but be aware that there may be a higher chance of complications and a slightly lower chance of full symptom relief.