Does the surgical sequence of lumbar spine fusion and total hip arthroplasty affect the dislocation and revision risk? A meta‑analysis and systematic review
Fuze Liu, Chengqi Jia, Xiangdong Wu, Yixin Zhou · 2026
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Description
Fuze Liu, Chengqi Jia, Xiangdong Wu, and Yixin Zhou ask whether operation order matters when a patient needs both spine fusion and hip replacement in a 2026 systematic review and meta-analysis. A fused lower spine changes hip mechanics, raising worry about dislocation of the new hip. Ten studies covering nearly sixty thousand patients compared hip replacement before spine fusion against the reverse order, pooling rates of revision, dislocation, joint infection, and loosening.
None of the four complication rates differed significantly between the two sequences in pooled results. Dislocation, infection, and loosening all sat close between groups, and total revision rates matched as well in the reported estimates. The authors conclude that order alone should not drive planning, leaving choice to individual anatomy and symptoms.
Catalog record
| CREATOR | Fuze Liu, Chengqi Jia, Xiangdong Wu, Yixin Zhou |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 22622 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |