Study of Patients with Bilateral Knee Osteoarthritis Undergoing Total Knee Replacement Procedure with Coexisting Lumbar Spondylosis Symptoms

This is a prospective cohort study involving patients who were followed for 2 years after total knee replacement (TKR) to determine changes in lumbar spine and knee symptoms. The objectives of this study were to determine the percentage of patients undergoing bilateral TKR who present with coexistin...

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Bibliographic Details
Published in:Asian spine journal 2021, 15(6), , pp.825-830
Main Authors: Londhe, Sanjay Bhalchandra, Shah, Ravi Vinod, Patwardhan, Meghana, Doshi, Amit Pankaj, Londhe, Shubhankar Sanjay, Subhedar, Kavita, Kundnani, Vishal, Patel, Jwalant
Format: Article
Language:English
Subjects:
Arthritis
Back pain
Body mass index
Bone surgery
Clinical Study
Disease
Epidural
Hospitals
lumbar disc degeneration
Males
Older people
Osteoarthritis
Pathology
Patients
Quality of life
Questionnaires
Spine (lumbar)
Spondylolisthesis
Spondylosis
Standard deviation
Stenosis
Surgeons
Surgery
Surgical outcomes
total knee replacement
X-rays
정형외과학
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Summary:This is a prospective cohort study involving patients who were followed for 2 years after total knee replacement (TKR) to determine changes in lumbar spine and knee symptoms. The objectives of this study were to determine the percentage of patients undergoing bilateral TKR who present with coexisting lumbar spine problems and determine if TKR relieves lumbar spine symptoms. No studies quantify the percentage of TKR patients who experience relief of lumbar spine symptoms after TKR surgery. The study included 200 patients (164 females, 36 males) undergoing primary TKR. Follow-up was performed at 4 weeks, 3, 6, 12, and 24 months. Lumbar spine and knee symptom improvements were assessed using the Oswestry Disability Index (ODI) and Oxford Knee Score, respectively. All 200 patients undergoing bilateral TKR presented with radiographic lumbar spine degenerative pathology; 60% (n=120) of the patients presented with moderate to severe clinical symptoms of lumbar spondylosis, including 54% (n=108) with degenerative lumbar spondylosis and lumbar canal stenosis and 6% (n=12) with degenerative spondylolisthesis. Of the 120 patients who presented with lumbar spine problems, 90% (n=108) reported improvement in their symptoms; the ODI score improved from 42.5%±4.1% preoperative score to 15.6%±2.3% postoperative score (p-value
ISSN:1976-1902
1976-7846
DOI:10.31616/asj.2020.0279