In a study co-authored by Dr. Jonathan Vigdorchik of Hospital for Special Surgery and HipSurgeryNYC.com, it has been found that people with a spinal deformity also requiring a total hip replacement are at greater risk for dislocation or follow-up revision surgery.
This suggests that higher-risk patients may benefit from a more personalized approach to surgery to reduce the risk of poorer outcomes.
This new study led by Dr. Vigdorchik and other orthopaedic surgeons at NYU Langone Medical Center provides a greater understanding of:
- Exactly how spinal deformity interacts with the pelvis,
- Potential increased risks with implanting the artificial hip in a “safe zone”
“Surgeons should anticipate potential instability after performing a hip replacement in patients who have existing spinal deformity, and they should adjust their surgical plans accordingly,” says lead study author Aaron J. Buckland, MD, assistant professor of orthopaedic surgery in the Division of Spine Surgery and director of spine research at NYU Langone.
The study was presented at the American Academy of Orthopaedic Surgeons (AAOS) 2017 Annual Meeting in San Diego, California and the findings were also online in the Journal of Arthroplasty.
Hip replacement statistics:
- More than 310,000 hip replacements are performed in the United States each year.
- Hip replacement rates have dramatically increased over the past 2 decades in younger adults 45 to 64 years of age (who are active and living longer than ever before).
- An estimated 2.5 million Americans are currently living with hip replacements.
In a hip replacement, an artificial joint comprised of a ball and socket is implanted to replace the natural socket in the pelvis, enabling movement that is typical of the hip joint.
Hip replacement study co-author, Dr. Vigdorchik.
The So-Called “Safe Zone” For Hip Replacements
For the past 40 years, surgeons have placed the socket, known as the acetabular cup, adjacent to the pelvic bone in a so-called safe zone—a position that is thought to reduce risk of dislocation. However, the new research suggests that placing the acetabular cup in the safe zone may not be enough to prevent dislocation in patients with spinal deformity.
Until now, no studies of the hip–spine relationship have focused on patients with sagittal spinal deformity, says Dr. Buckland. “Our research helps bridge any disconnect between surgeons who regularly treat spinal deformities and those who perform hip joint replacements, fostering more collaboration to improve patient outcomes,” he adds.
How Spinal Deformity Affects Hip Replacements
For the study, researchers retrospectively reviewed 107 patients who met the criteria for sagittal spinal deformity and who had 139 hip replacements collectively. Using software containing detailed measurements of patients who were imaged before and after surgery, researchers analyzed the acetabular cup position, dynamic changes in cup position, and rate of instability in patients who had undergone hip replacements.
They found an 8 percent dislocation rate for hip replacement in patients with some degree of spinal stenosis; 5.8 percent of the same patient cohort required revision surgery due to recurrent dislocation. This compares to a 1 to 2 percent dislocation risk in the typical population, according to Dr. Buckland.
The lumbar spine, or lower back, moves during normal posture changes, such as transitioning from sitting to standing. This creates alterations in “spinopelvic tilt,” which, in turn, changes the functional position of the acetabulum, or hip socket.
Among all study patients, 78 percent had normal placement of their artificial hip while lying down (supine). But that number significantly decreased to 58 percent when patients stood, due to increases in spinopelvic tilt. Among patients with hip replacements that dislocated, 80 percent had safe zone cup placement, 80 percent had spinopelvic tilt, and 60 percent were deemed safe by both parameters.
The findings have led orthopaedic surgeons who perform hip replacements at NYU Langone to collaborate with their spine surgeon colleagues on preoperative planning in an effort to secure optimal outcomes in patients.
“The fact that high rates of dislocation occurred in patients with ‘safe zone’ placement of their artificial hips implies that our understanding of what defines acceptable acetabular positioning for these patients remains questionable. It is imperative that the degree of spinal deformity be a primary factor in preoperative planning of hip replacements.”
– Study co-author Jonathan Vigdorchik, MD, assistant professor in the Department of Orthopaedic Surgery at NYU Langone.
The research team plans future projects to examine postural analysis more closely in order to develop patient-specific or pathology-specific safe zones, enhance impingement-free range of motion, and study in more detail the use of a dual-mobility bearing implant in this complex patient population.
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By Freda
This is a very joyful day of my life because of the help PRIEST Salami has rendered to me by helping me get my ex-husband back with his magic and love spell. I was married for 6 years and it was so terrible because my husband was really cheating on me and was seeking a divorce but when I came across PRIEST Salami email on the internet on how he helped so many people to get their ex back and help to fix relationships. and make people happy in their relationship. I explained my situation to him and then sought his help but to my greatest surprise, he told me that he will help me with my case and here I am now celebrating because my Husband has changed totally for good. He always want to be by me and can not do anything without my presence. I am really enjoying my marriage, what a great celebration. I will keep on testifying on the internet because PRIEST Salami is truly a real spell caster. DO YOU NEED HELP? THEN CONTACT DOCTOR PRIEST Salami NOW VIA EMAIL: purenaturalhealer@gmail.com. Whatsapp number: +2348105150446 He is the only answer to your problem and makes you feel happy in your relationship...
By Freda
After 7yrs in marriage trying to conceive and fibroid was getting over my life. In the end it\'s my greatest joy, after the help of DR.Easbnam I fell pregnant. I\'m recommending everyone out here who is trying to get pregnant no matter the conditions that delay your pregnancy, either physical or spiritual problems holding your womb. you should also contact DR.Easbnam there will be a greater testimony for you. > email or whatsapp call... dreasbnamrootandherbal1@gmail.com + 2348106600701
By GLADY
After 7yrs in marriage trying to conceive and fibroid was getting over my life. In the end it's my greatest joy, after the help of DR.Easbnam I fell pregnant. I'm recommending everyone out here who is trying to get pregnant no matter the conditions that delay your pregnancy, either physical or spiritual problems holding your womb. you should also contact DR.Easbnam there will be a greater testimony for you. > email or whatsapp call... dreasbnamrootandherbal1@gmail.com + 2348106600701
By GLADY
My Name is Clara from Phoenix Arizona I want to share a brave story to the world how Dr Kuda the spell caster who help me when I was having this sickness called Herpes Gential Virus, i was in this situation for 3 years suffering from this disease I went to so many hospitals taking so many treatment there was no improvement in my health insurance portability i was given up I think I can't be cured again until one day when I decided to go through my Instagram and I saw a post about the great spell caster Dr Kuda how is helping so many people to cure their sickness I was so lucky when I see some other women giving testimony about Dr Kuda again, then I was confused I think the sickness cannot be cured I said to myself let me have hope when I contact Dr Kuda to help me after that Dr Kuda prepared his powerful Herbal Medicine for me I just took it for two weeks and i regain my self I am heal from Herpes Dr Kuda you're really the best you help me to save my life, you can contact him I am hundred percent sure that is going to help you to cure your sickness Email: drkudaspelltemple@gmail.com OR Call and WhatsApp Number +1 (346) 478-1991 His Website: https://drkudaspelltemple.wixsite.com/my-site-kuda
By Clara
LOOKING FOR A HONEST LOVE DOCTOR, CONTACT DR ISIKOLO NOW website (https://isikolotemple.com) Love remains amazing when you are with your soulmate and happiness ever after is assured for you both. DR ISIKOLO made me realize that you can recover what makes life beautiful to you just when I lost hope in getting my man back and he returned him back to me. We had a complicated relationship and fought all the time and he left heart broken and I was miserable. DR ISIKOLO came into the picture after several attempts to win him back and failed. He restored the love and connection between me and my man and in just after 48 hours, we had a date and talked things over and now we are planning on getting married and living happily together forever. Words cant express my gratitude to DR ISIKOLO and everyone that has spoken highly of him never lied about him because he is indeed trustworthy. Contact him today and let him help you too. email: (isikolosolutionhome@gmail.com) or text him via WhatsApp: +2348133261196
By Colleen Williams
I want to genuinely thank Dr Ayoola for making my dream come through. I was on the internet when I saw people posting and talking about Dr Ayoola. On How he has help them in winning lottery. My name is Gerald Muswagon this is my story on how I win $10 million After reading the article about Dr Ayoola I contacted him I told him to help me win lottery he respond to me by saying he will help me after working with him he assured me that I will win. Which I believe. After working with Dr Ayoola he gave me a number and ask me to go and play it which I did today I’m here shearing a testimony about this same man Dr Ayoola help me to win $10 million dollars all thanks to you Dr I will keep taking about your good because you are a man of your word I hope people that really need this will come across it for you to help them as well. If you want to win big in lottery contact Dr Ayoola today and be rest assured of winning contact him via email drayoolasolutionhome@gmail. com or https://www.facebook.com/Dr-Ayoola-105640401516053/ text or call +14809032128
By Gerald Muswagon
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By Hackex
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By Hackex
I want to genuinely thank Dr Ayoola for making my dream come through. I was on the internet when I saw people posting and talking about Dr Ayoola. On How he has help them in winning lottery. My name is Gerald Muswagon this is my story on how I win $10 million After reading the article about Dr Ayoola I contacted him I told him to help me win lottery he respond to me by saying he will help me after working with him he assured me that I will win. Which I believe. After working with Dr Ayoola he gave me a number and ask me to go and play it which I did today I’m here shearing a testimony about this same man Dr Ayoola help me to win $10 million dollars all thanks to you Dr I will keep taking about your good because you are a man of your word I hope people that really need this will come across it for you to help them as well. If you want to win big in lottery contact Dr Ayoola today and be rest assured of winning contact him via email drayoolasolutionhome@gmail. com or https://www.facebook.com/Dr-Ayoola-105640401516053/ text or call +14809032128
By Gerald Muswagon
I want to genuinely thank Dr Ayoola for making my dream come through. I was on the internet when I saw people posting and talking about Dr Ayoola. On How he has help them in winning lottery. My name is Gerald Muswagon this is my story on how I win $10 million After reading the article about Dr Ayoola I contacted him I told him to help me win lottery he respond to me by saying he will help me after working with him he assured me that I will win. Which I believe. After working with Dr Ayoola he gave me a number and ask me to go and play it which I did today I’m here shearing a testimony about this same man Dr Ayoola help me to win $10 million dollars all thanks to you Dr I will keep taking about your good because you are a man of your word I hope people that really need this will come across it for you to help them as well. If you want to win big in lottery contact Dr Ayoola today and be rest assured of winning contact him via email drayoolasolutionhome@gmail. com or https://www.facebook.com/Dr-Ayoola-105640401516053/ text or call +14809032128
By Gerald Muswagon
Even though I was reluctant to buy this product immediately because of fear and doubts, I eventually did and it worked for me. My herpes has been cured permanently and I was tested negative. I conducted the test severally after completing the medication and all test results read negative. It is one of the best decisions I have ever made, just give it a trial. You’re almost there”contact aremionkialedesmond@gmail.com or WhatsApp him on his cellphone number+2348051145606
By Berry weny
My name is Tom Peacock from USA, I want to say thank you to Dr Emu for the good thing he has done for me, Though am not sure if this is the best forum to show my joy and happiness for what he has done for me but i can't hide my happiness and my joy so i have to share it with people, my marriage got crashed about two years ago and i tried all i could within my power but to no avail. I saw a post and testimonial about the good things Dr Emu has been doing so I decided to give it a try. though he is always a busy man but when he responded back to my email, he gave me 48 hours for my marriage to be restored really just like he said my marriage was restored since then I am happy and i am living happily i am so grateful to Dr Emu you can always email him here: {emutemple@gmail.com} or WhatsApp: {+2347012841542}
By Tom Peacock
I won $7,000,000(Seven Million Dollars) in the powerball lottery, I took an advice from someone who talked about this great spell caster called Priest Salami the person placed a testimony on a blog thanking Priest Salami on how he helped him win the lottery by sending him the winning number, i was curious and i thought it was all joke not until i contacted this spell caster to know for myself how this work cause i have spend a lot buying tickets and i have never win anything. I contacted him and he told me the necessary thing that need to be done and i did it and he told me to wait for 2days he will cast the spell on the winning numbers and send them to me to play and truly he gave me the winning numbers to play after 2days of working on the lucky numbers, Can you believe my name was the first among winners after playing. He told me (my son all I need you to do for me is make sure that you share this testimony to others so that they can also win the lottery and reduce poverty. So that is why I am sharing this testimony with everyone that if you want to win the lottery this is the way online tips can not help you, Priest Salami is the only answer to your problem of winning the lottery because this is a huge gift for me. Contact Priest Salami today and win the lottery like me Priest Salami email is purenaturalhealer@gmail.com or WhatsApp +2348143757229
By Linda Gibson
HOW I GOT RID OF HERPES VIRUS WITH DR.ISHIAKU HERBS I want to inform the public how I was cured of herpes simplex Virus by a herbal Dr called ISHIAKU. I visited different hospitals but they gave me a list of drugs like Famvir, Zovirax, and Valtrex which are very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedies on Herpes and I saw comments of people talking about how dr ishiaku cured them. I Was scared because I never believed in the Internet but I was convinced to give him a try because I had no hope of being cured of herpes so I decided to contact him on his email, i searched his email on the net and I saw a lot of people testifying about his goodness. When I contacted him he gave me hope and sent a Herbal medicine to me that I took and it seriously worked for me, am a free person now without any problems, my HERPES result came out negative. You can contact him on his what - sapp him via (+2348180828544) or email ishiakuherbalcure@yahoo.com and get all your problems solved. 1)Sickness of any kind 2)Help to cure HEPATITIS B, DIABETICS, HIV 3)Marriage problem, To Re-unit or cast a spell 4)Pregnancy problem 5)Financial problem 6)bad mouth odour or tooth problem 7)eye & ear problem 8)penxs enlargement Visit his website for more information www.ishiakuherbalcure.wordpress.com
By Juwan James
I TESTED POSITIVE FOR HSV-2 A FEW MONTHS AGO. At first, Yes, I was devastated thinking I have an incurable STD for life. After doing hours of research I quickly realized genital herpes is a filthy parasite that just likes to hide in your body. Yes, There’s no “medical cure” but that doesn’t mean your body can’t get rid of it. I literally flush it out of my system with the help of Doctor Azuka, A natural herbal medicine which I ordered after doing some research. And now I’m HSV-2 negative, I never believed it until my doctor finally gave me the test results and behold I was HSV-2 free. I’m so glad that I found you, Doctor Azuka. Thanks so much for your goodness I’m grateful. You can also get your help from him through his Email } dr.azukasolutionhome@gmail.com WhatsApp } +2349166175418
By Jred Hatty
I ordered a job spell on a Friday night and on Monday the place I applied for a job called for me to come by their office. They gave me the job I applied for and made me an offer of more per hour than I have ever made in my life! I am so happy! Government jobs sometimes are a slow process. You somehow managed to speed up that process, and I start in just a few days! DR EMU I will be forever grateful thanks once again. You can call on him for help on his email address emutemple@gmail.com or add him up on his WhatsApp +2347012841542. DR EMU also lent a helping hand to the following } 1. GETTING YOUR EX LOVER BACK. 2. WINNING LOTTERIES. 3. CHILD BEARING. 4. BREAKING OF GENERATION COURSE. 5. GETTING OF JOB. 6. JOB PROMOTION. 7. HERBAL CARE. 8. SPIRITUAL PROTECTION. 9. HERBAL CARE. 10. SPIRITUAL PRAYER. E.T.C.
By Nicole Morris
Hi, did you know there are spells to win love back from an ex. I have done it. I love reading about relationships and how to make them work, how to better the relationship, and how to keep the spark alive, even how to talk to them a certain way to get them to think a different way about the situation and you. If you need advice or want to win your ex back, try DR EMU copy and message on the following ( Email: emutemple@gmail.com ) or ( WhatsApp: +2347012841542 ) It will change your mentality and get you what you want.
By SCOTT WYCOFF
I suffered from what they called peripheral artery disease (PAD). I have been suffering for years, Me and my wife searched for a medical cure, and then we came across a testimony of a man who suffered the same and was cured by Dr Chief Lucky. So my wife and I contacted Dr Chief Lucky via an email and thank God he replied. I explained what was wrong and he sent me herbal medicines that helped heal me completely. I am happy to say that herbal medicine is the ultimate and Dr Chief Lucky I am grateful. You can contact him on his email: chiefdrlucky@gmail.com or whatsapp: +2348132777335, Facebook page http://facebook.com/chiefdrlucky website https://chiefdrlucky.com/. He said that he also specializes in the following diseases: ALS, CANCER, HPV, HERPES, DIABETES, HEPATITIS B, HIV, And more.
By Wilson Fox
My purpose out here today is to share this article to the world about how. Dr. Akereco helped me in getting back my EX-Girlfriend that broke up with me 6 months ago. My name is Zack from Cape Town, South Africa. I tried all I could to make her see reasons with me that we can continue our relationship but she neglected and turned down my decision. Thank God for giving me the thought of going into the internet for help, i searched properly and i saw different reviews of Dr. Akereco and I insisted on giving it a try by contacting him via What's-App on +2348148822140. He gave me reason to live again and he prepared a spell and told me that my Ex-Girlfriend will come back to me within 48 hours. Can you believe it, my EX-Girlfriend came back to me and our wedding will be held on May 15 2022. Contact him now!!! if you need any help. Email: drakerecospellcaster@gmail.com Website: http://drakerecoproblemssolutionhome.website2.me
By Zack Powell
My mom was suffering from Type 2 diabetes and Lupus for over 17yrs. She tried many drugs but at last became dependent on saferoom and metformin due to the weakness and constant pains, She found that life was just sinking & there was no way of hope. Then she consulted Chief Dr Lucky for herbal treatments, Which she had been hearing so much about, After some couple of days taking this herbal medicine, Things started to change, The symptoms started to decrease and after 19 days of taking it, She became healthy and fully free from all the symptoms of Type 2 diabetes and Lupus. My mom's life is totally different now. That's why I decided to let everybody know about the wonderful healing of Chief Dr Lucky herbal, If you are having any health challenges kindly visit email chiefdrlucky@gmail.com or WhatsApp +2348132777335 Facebook page http://facebook.com/chiefdrlucky Website https://chiefdrlucky.com/.
By Dexter Tamara
I am here to give my testimony about Dr Ose who helped me in my life, i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by dr Ose spiritual, i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how dr Ose spiritual cured them. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, my HERPES result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that their is no cure for herpes that is Not true just contact him and get cure from dr Ose spirirtual healing spell cure of all kinds of sickness you may have. Remember delay in treatment leads to death email him oseremenspelltemple@gmail.com whatsapp +234813 648 2342 https://www.facebook.com/Dr-odion-spell-temple-110513923938220
By novak dj
I never use to believe in spell casting until i met Lord Zuma a powerful spell caster who helped me to be a happy person again. i reside in USA. After 4 years of Broken marriage, my husband left me with two kids. I felt like my life was about to end and i almost committed suicide, i was emotionally down for a very long time. Thanks to a Great spell caster called Lord Zuma which i met online on one faithful day when I was browsing through the internet, i came across a lot of testimonies about this particular Great spell caster how he has helped so many people. he has helped people to bring back their Ex lover, some testified that he restores womb, cure cancer and other sickness, and so on. I also came across a testimony, it was about a woman called Sandra, she testified about how his spell made her to be pregnant after so many years of bareness and at the end of her testimony she dropped Lord Zuma's email address. After reading all these, i decided to give it a try and i contacted him and explained my problem to him and he assured me that in less than 48 hours, my husband will call me and beg for forgiveness but i thought it will not work. When he had finished casting the spell, the next day my husband called me and he was begging for forgiveness just as Lord Zuma said. This is not brain washing and after the spell has been cast, i realized that my husband love me like never before and the spell caster opened him up to know how much i love him and how much love we need to share. We are even happier now than before. Lord Zuma is really a gifted man and i will not stop publishing him because he is a wonderful man. If you have a problem and you are looking for a real and a genuine spell caster to solve all your problems contact Lord Zuma now on spiritualherbalisthealing@gmail.com or just visit https://spiritualherbal.blogspot.com and see so many he has helped that are testifying about his good work. He will help you solve all your problems. Once again thank you Lord Zuma for your good deeds. His whatsapp number +1 506 800 1647
By Catherine
My name is jennifer cook, i want to give almighty praise to Priest Salami who helped me get cured of my HIV/AID diseases, please help me thank this great man whom God has sent from heaven to save people’s life, this wonderful man also save the life of my friend who had HIV/AID just like I did, please thank this man for me, also if you have any type of problem or you need cure to any diseases you can also contact him to help you out, he is a wonderful man, his email purenaturalhealer@gmail.com contact him to help you too, you can also reach him on +2348143757229
By Jennifer Cook
I want to share an amazing testimony of how Dr. Kham was able to cure me totally from Herpes Simplex Virus, I saw Dr. Kham Information online that he normally cure and treat disease and infirmities with his Herbal Medicine, I never really believed the people who where recommending him though I saw on blog about 5 people where also testifying on how they were cured by Dr. Kham, I decided to give a try and I hoped to myself that something good was going to come out from it, I told Dr Kham about my HERPES VIRUS and he told me he was going to send me some herbal medicine he requested for some few personal information from me and he said he was going to make use of it in order to prepare the medicine, After 2 days in communication with Dr. Kham he prepared the Herbal Medicine and sent it to me, I used this medicine for approximately 3 weeks and today I am HERPES Free I am totally cured from HERPES, Friends this is so true and I urge you to try out, you can reach Dr. Kham at dr.khamcaregiver@gmail.com call him on WhatsApp +234815992297. Thank you Dr. Kham.
By James Raymond