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Research ArticleLumbar Spine

Radiological Spinopelvic Parameters Can Be Risk Factors for Early Total Hip Replacement After Spine Fusion

Young-Hyun Yoon, Seong-Hwan Moon, Byung Ho Lee, Kyung-Soo Suk, Si Young Park, Sub-Ri Park, Namhoo Kim, Hak-Sun Kim and Ji-Won Kwon
International Journal of Spine Surgery October 2024, 18 (5) 589-594; DOI: https://doi.org/10.14444/8681
Young-Hyun Yoon
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
MD
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Seong-Hwan Moon
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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Byung Ho Lee
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
MD
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Kyung-Soo Suk
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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Si Young Park
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
MD
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Sub-Ri Park
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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Namhoo Kim
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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Hak-Sun Kim
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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Ji-Won Kwon
1 Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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  • For correspondence: kwonjjanng@hanmail.net
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    Table 1

    Patient demographic data with inverse probability of treatment weighting.

    VariablesWeighted Mean (SE) or Weighted N (%) P
    Early THR = 0 (n = 215.5)Early THR = 1 (n = 47.2)
    Age, y68.9 (0.6)67.9 (1.5)
    Gender0.541
     Woman (0)132.7 (61.6)28.7 (60.7)0.9332
     Man (1)82.8 (38.4)18.6 (39.3)
    Preoperative TG, mg/dL148.5 (3.3)170.9 (6.9)0.0035
    Preoperative Hgb, mg/dL13.0 (0.1)12.5 (0.3)0.0815
    Preoperative Hct, %38.3 (0.6)37.4 (0.8)0.3882
    BMI25.4 (0.3)24.5 (0.6)0.1774
    No. of surgical levels treated
     1133.4 (61.9)28.6 (60.6)0.9983
     270.3 (32.6)16.0 (33.9)
     38.7 (4.1)2.0 (4.2)
     43.1 (1.4)0.6 (1.3)
    Preoperative smoking
     No (0)199.2 (92.4)45.7 (96.8)0.3765
     Yes (1)16.3 (7.6)1.5 (3.2)
    Preoperative alcohol use
     No (0)185.0 (85.8)32.9 (69.6)0.0435
     Yes (1)30.5 (14.2)14.4 (30.4)
    Preoperative steroid use
     No (0)205.4 (95.3)35.3 (74.9)0.0007
     Yes (1)10.2 (4.7)11.9 (25.2)
    Osteoporosis
     No (0)149.4 (69.3)12.4 (26.2)<0.0001
     Yes (1)66.1 (30.7)34.9 (73.8)
    • Abbreviations: THR, total hip replacement; TG, triglyceride; Hgb, hemoglobin; Hct, hematocrit; BMI, body mass index.

    • View popup
    Table 2

    Independent variable analysis with inverse probability of treatment weighting.

    VariablesWeighted Mean (SE) or Weighted N (%) P
    Early THR = 0 (n = 215.5)Early THR = 1
    (n = 47.2)
    Preoperative
     PI55.2 (0.9)51.1 (2.0)0.0644
     SS32.3 (0.6)29.6 (2.3)0.2472
     PT22.9 (0.7)21.6 (2.4)0.5901
     LL35.2 (1.0)38.9 (3.5)0.3012
     TLK20.8 (0.10)7.4 (1.1)<0.0001
     SVA55.1 (2.10)68.1 (10.2)0.217
     TK21.8 (0.8)17.5 (1.7)0.0213
     PI−LL20.0 (1.1)12.2 (4.1)0.0661
    Postoperative
     PI55.0 (0.8)55.1 (2.4)0.964
     SS32.2 (0.7)34.2 (2.3)0.4072
     PT22.8 (0.7)21.0 (2.1)0.4164
     LL36.9 (1.0)37.4 (3.6)0.9048
     TLK20.1 (1.0)7.5 (1.2)<0.0001
     SVA45.9 (2.7)51.2 (5.1)0.3579
     TK22.3 (0.9)15.0 (1.6)<0.0001
     PI−LL18.1 (1.0)17.7 (3.8)0.9336
    Difference (△)
     △ PI−0.19 (0.7)3.98 (1.10)0.0463
     △ SS−0.09 (0.6)4.60 (2.2)0.0434
     △ PT−0.13 (0.5)−0.62 (1.7)0.7774
     △ LL1.76 (0.8)−1.53 (1.9)0.1141
     △ TLK−0.81 (0.6)0.09 (0.7)0.3451
     △ SVA−9.24 (2.10)−16.92 (10.6)0.4816
     △ TK0.44 (0.6)−2.53 (1.8)0.1253
     △ PI−LL−1.94 (0.9)5.50 (2.7)0.0094
    Fusion type
     Posterolateral fusion144.9 (67.2)21.1 (44.6)0.0199
     Interbody fusion70.7 (32.8)26.1 (55.4)
    Blood fusion
     No (0)195.5 (90.7)36.9 (78.9)0.079
     Yes (1)20.0 (9.3)10.3 (21.9)
    • Abbreviations: LL, lumbar lordosis; PI, pelvic incidence; PI−LL, pelvic incidence minus lumbar lordosis; PT, pelvic tilt; SS, sacral slope; SVA, sagittal vertical axis; THR, total hip replacement; TK, thoracic kyphosis; TLK, thoracolumbar kyphosis.

    • Note: △ indicates the difference between the post- and preoperative values.

    • View popup
    Table 3

    Logistic regression with inverse probability of treatment weighting.

    VariablesUnivariable
    OR (95% CI) P
    Preoperative
     PI0.975 (0.950–1.000)0.0492
     SS0.975 (0.945–1.005)0.0952
     PT0.989 (0.960–1.018)0.4503
     LL1.016 (0.995–1.037)0.134
     TLK0.884 (0.844–0.926)< 0.0001
     SVA1.006 (1.000–1.014)0.0679
     TK0.968 (0.940–0.996)0.0255
     PI−LL0.974 (0.955–0.993)0.0065
    Postoperative
     PI1.001 (0.976–1.026)0.9549
     SS1.018 (0.987–1.050)0.2567
     PT0.983 (0.953–1.014)0.2849
     LL1.002 (0.982–1.022)0.8605
     TLK0.894 (0.854–0.935)<0.0001
     SVA1.004 (0.996–1.012)0.3904
     TK0.946 (0.917–0.975)0.0004
     PI−LL 0.999 (0.979–1.019)0.9004
    Difference (△)
     △ PI1.037 (1.007–1.067)0.0152
     △ SS1.045 (1.014–1.078)0.0046
     △ PT0.992 (0.953–1.033)0.6946
     △ LL0.976 (0.950–1.003)0.086
     △ TLK1.015 (0.974–1.057)0.4805
     △ SVA0.996 (0.989–1.003)0.2817
     △ TK0.966 (0.933–0.999)0.0461
     △ PI−LL1.040 (1.016–1.065)0.0009
    Fusion type
     Posterolateral fusionRef0.0043
     Interbody fusion2.544 (1.341–4.827)
    Blood fusion
     No (0)Ref0.0173
     Yes (1)2.737 (1.195–6.270)
    • Abbreviations: CI, confidence interval; LL, lumbar lordosis;OR, odds ratio; PI, pelvic incidence; PI−LL, pelvic incidence minus lumbar lordosis; PT, pelvic tilt; Ref, reference; SS, sacral slope; SVA, sagittal vertical axis; TK, thoracic kyphosis; TLK, thoracolumbar kyphosis.

    • Note: △ indicates the difference between the postoperative and preoperative values.

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International Journal of Spine Surgery
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1 Oct 2024
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Radiological Spinopelvic Parameters Can Be Risk Factors for Early Total Hip Replacement After Spine Fusion
Young-Hyun Yoon, Seong-Hwan Moon, Byung Ho Lee, Kyung-Soo Suk, Si Young Park, Sub-Ri Park, Namhoo Kim, Hak-Sun Kim, Ji-Won Kwon
International Journal of Spine Surgery Oct 2024, 18 (5) 589-594; DOI: 10.14444/8681

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Radiological Spinopelvic Parameters Can Be Risk Factors for Early Total Hip Replacement After Spine Fusion
Young-Hyun Yoon, Seong-Hwan Moon, Byung Ho Lee, Kyung-Soo Suk, Si Young Park, Sub-Ri Park, Namhoo Kim, Hak-Sun Kim, Ji-Won Kwon
International Journal of Spine Surgery Oct 2024, 18 (5) 589-594; DOI: 10.14444/8681
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Keywords

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