Total Joint Arthroplasty and Preoperative Low Back Pain

被引：64

作者：

Staibano, Phillip ^{[1
]}

Winemaker, Mitch ^{[1
,2
,3
]}

Petruccelli, Danielle ^{[1
]}

de Beer, Justin ^{[1
,2
,3
]}

机构：

[1] Hamilton Hlth Sci Juravinski Hosp, Hamilton Arthroplasty Grp, Hamilton, ON, Canada

[2] McMaster Univ, Fac Hlth Sci, Hamilton, ON, Canada

[3] Hamilton Hlth Sci, Dept Surg, Hamilton, ON, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 05期

关键词：

total joint replacement; low back pain; outcomes; hip arthroplasty; knee arthroplasty; osteoarthritis; TOTAL HIP-REPLACEMENT; TOTAL KNEE REPLACEMENT; OSTEOARTHRITIS; QUESTIONNAIRE; PERCEPTIONS;

D O I：

10.1016/j.arth.2013.10.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Lower extremity osteoarthritis with concomitant low-back pain (LBP) may obscure a clinician's ability to properly evaluate the status of hip or knee osteoarthritis and subsequent total joint arthroplasty (TJA) candidacy. A prospective cohort study was conducted to determine prevalence and severity of preoperative LBP among TJA patients, and the effect of TJA on alleviating LBP. Preoperative moderate to worst imaginable LBP pain on the Oswestry Disability Index (ODI) was significantly higher among hips compared to knees (28.8% vs. 16.1%, P < 0.0001). Compared to knees, hips also saw significant ODI improvement from preoperative to one-year postoperative. TJA candidates with considerable preoperative LBP should be counselled that TJA outcome may be impaired by the coexistence of spine disease, and that residual spine pain may continue following otherwise successful TJA. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：867 / 871

页数：5

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