Spinal Fusion, Total Hip Replacement
Conditions
Brief summary
The purpose of the study is to explore the long term functional status of people who have had both a spinal fusion procedure and a total hip replacement.
Detailed description
The purpose of the study is to explore the long term functional status of people who have had both a spinal fusion procedure and a total hip replacement. Studies have found that those who have received spinal fusion may have worse outcomes following a total hip replacement than those who have not received a spinal fusion. The information obtained from this study will allow surgeons and researchers to better understand why some who've had a spine fusion have more complications post total hip replacement compared to those who did not have spinal fusion surgery.
Interventions
X-Ray imaging in the following positions: Lateral standing, lateral seated, standard standing AP pelvis and AP pelvis lying down.
Certain patients may be asked to participate in a motion analysis procedure at the Human Movement Laboratory at the University of Ottawa. This procedure takes approximately 1.5 hours and you will only be asked to participate in the motion analysis procedure once. Participants will change into a custom-designed tight body suit, which has reflective markers on its surface for infrared video capture. Participants will then have pairs of surface electromyography (EMG) electrodes placed on certain areas of the skin on the legs and on the back. Wearing the EMG electrodes and marker suit, participants will perform 5 trials of walking on a level walkway, walking up and down a 3-step staircase, sitting from a standing position, and standing from a seated position.
Sponsors
Study design
Eligibility
Inclusion criteria
* Willing to come to the Civic Campus for a surgical follow-up visit * Speaks English and/or French * Group 1 patients must have had a spine fusion (SF) and total hip arthroplasty (THA) * Group 2 patients must have had a total hip replacement (THA) and no history of spine fusion (SF) * Group 3 patients must have had a spine fusion (SF) and no history of total hip arthroplasty (THA)
Exclusion criteria
* Patient does not meet all 'inclusion' criteria * Patient is unable to answer questionnaires * Unable to get x-rays for other medical reasons * Severe dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant positioning | 6months or greater post-operative | Radiographic assessment (x-ray cup orientation measurements) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hip dysfunction and osteoarthritis outcome score (HOOS) | 6months or greater post-operative | Disease-specific quality of life measure |
| Oxford Hip Score | 6months or greater post-operative | Disease-specific quality of life measure |
| SF-12 Questionnaire | 6months or greater post-operative | Patient-reported overall quality of life measure |
| Oswestry low back disability questionnaire | 6months or greater post-operative | Assessment of low back pain |
Countries
Canada