Total Knee Arthroplasty in Patients with Concomitant Low Back Pain, Its Effects on Pain, Functional Outcomes and Satisfaction, a Narrative Review
-
Alireza Moharrami
,
Mohammad Mirahmadi Eraghi
,
Shahabaldin Beheshti Fard
,
Ali Asadifar
,
Ehsan Fallah
,
SM Javad Mortazavi
Abstract
The request for total knee arthroplasties (TKA) is increasingly being raised and imposes an enormous burden on the healthcare system. Most subjects represent symptomatic concomitant low back pain (LBP) at baseline, interfering with functional outcomes with little or no improvement in mental health following TKA. Orthopedics should notify the patients suffering from concomitant LBP about the like hood of unfavorable recovery. The authors describe the functional outcomes and satisfaction following TKA in patients suffering from concomitant LBP.
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2. Hicks GE, Morone N, Weiner DK. Degenerative lumbar disc and facet disease in older adults: prevalence and clinical correlates. Spine. 2009;34(12):1301.
3. Reginster JY. The prevalence and burden of arthritis. Rheumatology. 2002;41(suppl_1):3-6.
4. Hassett G, Hart D, Doyle D, March L, Spector T. The relation between progressive osteoarthritis of the knee and long term progression of osteoarthritis of the hand, hip, and lumbar spine. Annals of the rheumatic diseases. 2006;65(5):623-8.
5. McNamara MJ, Barrett KG, Christie MJ, Spengler DM. Lumbar spinal stenosis and lower extremity arthroplasty. The Journal of arthroplasty. 1993;8(3):273-7.
6. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. Jbjs. 2007;89(4):780-5.
7. Yew AY, Hoffman H, Li C, McBride DQ, Holly LT, Lu DC. Quantitative data-driven utilization of hematologic labs following lumbar fusion. Journal of Spinal Disorders and Techniques. 2015;28(4):E231-E6.
8. Chang CB, Park KW, Kang YG, Kim TK. Coexisting lumbar spondylosis in patients undergoing TKA: how common and how serious? Clinical Orthopaedics and Related Research®. 2014;472:710-7.
9. Bellamy N, editor Pain assessment in osteoarthritis: experience with the WOMAC osteoarthritis index. Seminars in arthritis and rheumatism; 1989: Elsevier.
10. Kellgren J, Moore R. Generalized osteoarthritis and Heberden's nodes. British medical journal. 1952;1(4751):181.
11. Lequesne M, editor Indices of severity and disease activity for osteoarthritis. Seminars in arthritis and rheumatism; 1991: Elsevier.
12. Wolfe F, Hawley DJ, Peloso PM, Wilson K, Anderson J. Back pain in osteoarthritis of the knee. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1996;9(5):376-83.
13. Hawley S, Sacks S, Bowness P, Prieto-Alhambra D. Incidence of total hip and knee replacement in UK patients with ankylosing spondylitis. The Journal of rheumatology. 2018;45(9):1334-6.
14. Burnett DR, Campbell-Kyureghyan NH, Topp RV, Quesada PM, Cerrito PB. A retrospective study of the relationship between back pain and unilateral knee osteoarthritis in candidates for total knee arthroplasty. Orthopaedic Nursing. 2012;31(6):336-43.
15. Duygun F, Aldemir C. The frequency of spinal stenosis in patients who underwent total knee arthroplasty. Medicine. 2017;6(4):721-3.
16. Collados-Maestre I, Lizaur-Utrilla A, Martinez-Mendez D, Marco-Gomez L, Lopez-Prats F. Concomitant low back pain impairs outcomes after primary total knee arthroplasty in patients over 65 years: a prospective, matched cohort study. Archives of orthopaedic and trauma surgery. 2016;136:1767-71.
17. Boyle J, Anthony I, Jones B, Wheelwright E, Blyth M. Influence of low back pain on total knee arthroplasty outcome. The Knee. 2014;21(2):410-4.
18. Novicoff WM, Rion D, Mihalko WM, Saleh KJ. Does concomitant low back pain affect revision total knee arthroplasty outcomes? Clinical Orthopaedics and Related Research®. 2009;467:2623-9.
19. Schroer WC, Diesfeld PJ, LeMarr AR, Morton DJ, Reedy ME. Functional outcomes after total knee arthroplasty correlate with spine disability. The Journal of Arthroplasty. 2016;31(9):106-9.
20. Olsen U, Lindberg MF, Rose C, Denison E, Gay C, Aamodt A, et al. Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis. PloS one. 2023;18(3):e0283446.
21. DeFrance M, Scuderi G. Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature. The Journal of Arthroplasty. 2022.
22. Ayers DC, Zheng H, Yang W, Yousef M. How Back Pain Affects Patient Satisfaction After Primary Total Knee Arthroplasty. The Journal of Arthroplasty. 2023.
23. Clement N, MacDonald D, Simpson A, Burnett R. Total knee replacement in patients with concomitant back pain results in a worse functional outcome and a lower rate of satisfaction. The bone & joint journal. 2013;95(12):1632-9.
24. Simon LS. Relieving pain in America: A blueprint for transforming prevention, care, education, and research. Journal of pain & palliative care pharmacotherapy. 2012;26(2):197-8.
25. Jüni P, Reichenbach S, Dieppe P. Osteoarthritis: rational approach to treating the individual. Best practice & research Clinical rheumatology. 2006;20(4):721-40.
26. Zale EL, Ring D, Vranceanu A-M. The future of orthopaedic care: promoting psychosocial resiliency in orthopaedic surgical practices. JBJS. 2018;100(13):e89.
27. Singh V, Zak S, Robin JX, Kugelman DN, Hepinstall MS, Long WJ, et al. Presence of back pain prior total knee arthroplasty and its effects on short-term patient-reported outcome measures. European Journal of Orthopaedic Surgery & Traumatology. 2022;32(3):541-9.
28. Kalra K, Kohli S, Dhar S. A modified Gaines procedure for spondyloptosis. The Journal of bone and joint surgery British volume. 2010;92(11):1589-91.
29. Choi Y-J, Ra HJ. Patient satisfaction after total knee arthroplasty. Knee surgery & related research. 2016;28(1):1.
30. Kitagawa A, Yamamoto J, Toda M, Hashimoto Y. Spinopelvic alignment and low back pain before and after total knee arthroplasty. Asian spine journal. 2021;15(1):9.
31. Bannuru RR, Osani M, Vaysbrot E, Arden N, Bennell K, Bierma-Zeinstra S, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis and cartilage. 2019;27(11):1578-89.
32. Shohat N, Heller S, Sudya D, Small I, Khawalde K, Khatib M, et al. Mild radiographic osteoarthritis is associated with increased pain and dissatisfaction following total knee arthroplasty when compared with severe osteoarthritis: a systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy. 2022:1-17.
33. Obeid I, Berjano P, Lamartina C, Chopin D, Boissière L, Bourghli A. Classification of coronal imbalance in adult scoliosis and spine deformity: a treatment-oriented guideline. European Spine Journal. 2019;28:94-113.
34. Barrey C, Roussouly P, Le Huec J-C, D’Acunzi G, Perrin G. Compensatory mechanisms contributing to keep the sagittal balance of the spine. European spine journal. 2013;22:834-41.
35. Obeid I, Hauger O, Aunoble S, Bourghli A, Pellet N, Vital J-M. Global analysis of sagittal spinal alignment in major deformities: correlation between lack of lumbar lordosis and flexion of the knee. European spine journal. 2011;20:681-5.
36. Yanagisawa S, Sato N, Shimizu M, Saito K, Yamamoto A, Takagishi K. Relation among the knee, sagittal spinal alignment, and the spinal range of motion: Investigation in local medical check-ups using the SpinalMouse. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology. 2015;2(2):68-71.
37. Lee S-M, Yoon MG, Moon M-S, Lee B-J, Lee S-R, Seo YH. Effect of correction of the contractured flexed osteoarthritic knee on the sagittal alignment by total replacement. Asian spine journal. 2013;7(3):204-11.
2. Hicks GE, Morone N, Weiner DK. Degenerative lumbar disc and facet disease in older adults: prevalence and clinical correlates. Spine. 2009;34(12):1301.
3. Reginster JY. The prevalence and burden of arthritis. Rheumatology. 2002;41(suppl_1):3-6.
4. Hassett G, Hart D, Doyle D, March L, Spector T. The relation between progressive osteoarthritis of the knee and long term progression of osteoarthritis of the hand, hip, and lumbar spine. Annals of the rheumatic diseases. 2006;65(5):623-8.
5. McNamara MJ, Barrett KG, Christie MJ, Spengler DM. Lumbar spinal stenosis and lower extremity arthroplasty. The Journal of arthroplasty. 1993;8(3):273-7.
6. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. Jbjs. 2007;89(4):780-5.
7. Yew AY, Hoffman H, Li C, McBride DQ, Holly LT, Lu DC. Quantitative data-driven utilization of hematologic labs following lumbar fusion. Journal of Spinal Disorders and Techniques. 2015;28(4):E231-E6.
8. Chang CB, Park KW, Kang YG, Kim TK. Coexisting lumbar spondylosis in patients undergoing TKA: how common and how serious? Clinical Orthopaedics and Related Research®. 2014;472:710-7.
9. Bellamy N, editor Pain assessment in osteoarthritis: experience with the WOMAC osteoarthritis index. Seminars in arthritis and rheumatism; 1989: Elsevier.
10. Kellgren J, Moore R. Generalized osteoarthritis and Heberden's nodes. British medical journal. 1952;1(4751):181.
11. Lequesne M, editor Indices of severity and disease activity for osteoarthritis. Seminars in arthritis and rheumatism; 1991: Elsevier.
12. Wolfe F, Hawley DJ, Peloso PM, Wilson K, Anderson J. Back pain in osteoarthritis of the knee. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1996;9(5):376-83.
13. Hawley S, Sacks S, Bowness P, Prieto-Alhambra D. Incidence of total hip and knee replacement in UK patients with ankylosing spondylitis. The Journal of rheumatology. 2018;45(9):1334-6.
14. Burnett DR, Campbell-Kyureghyan NH, Topp RV, Quesada PM, Cerrito PB. A retrospective study of the relationship between back pain and unilateral knee osteoarthritis in candidates for total knee arthroplasty. Orthopaedic Nursing. 2012;31(6):336-43.
15. Duygun F, Aldemir C. The frequency of spinal stenosis in patients who underwent total knee arthroplasty. Medicine. 2017;6(4):721-3.
16. Collados-Maestre I, Lizaur-Utrilla A, Martinez-Mendez D, Marco-Gomez L, Lopez-Prats F. Concomitant low back pain impairs outcomes after primary total knee arthroplasty in patients over 65 years: a prospective, matched cohort study. Archives of orthopaedic and trauma surgery. 2016;136:1767-71.
17. Boyle J, Anthony I, Jones B, Wheelwright E, Blyth M. Influence of low back pain on total knee arthroplasty outcome. The Knee. 2014;21(2):410-4.
18. Novicoff WM, Rion D, Mihalko WM, Saleh KJ. Does concomitant low back pain affect revision total knee arthroplasty outcomes? Clinical Orthopaedics and Related Research®. 2009;467:2623-9.
19. Schroer WC, Diesfeld PJ, LeMarr AR, Morton DJ, Reedy ME. Functional outcomes after total knee arthroplasty correlate with spine disability. The Journal of Arthroplasty. 2016;31(9):106-9.
20. Olsen U, Lindberg MF, Rose C, Denison E, Gay C, Aamodt A, et al. Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis. PloS one. 2023;18(3):e0283446.
21. DeFrance M, Scuderi G. Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature. The Journal of Arthroplasty. 2022.
22. Ayers DC, Zheng H, Yang W, Yousef M. How Back Pain Affects Patient Satisfaction After Primary Total Knee Arthroplasty. The Journal of Arthroplasty. 2023.
23. Clement N, MacDonald D, Simpson A, Burnett R. Total knee replacement in patients with concomitant back pain results in a worse functional outcome and a lower rate of satisfaction. The bone & joint journal. 2013;95(12):1632-9.
24. Simon LS. Relieving pain in America: A blueprint for transforming prevention, care, education, and research. Journal of pain & palliative care pharmacotherapy. 2012;26(2):197-8.
25. Jüni P, Reichenbach S, Dieppe P. Osteoarthritis: rational approach to treating the individual. Best practice & research Clinical rheumatology. 2006;20(4):721-40.
26. Zale EL, Ring D, Vranceanu A-M. The future of orthopaedic care: promoting psychosocial resiliency in orthopaedic surgical practices. JBJS. 2018;100(13):e89.
27. Singh V, Zak S, Robin JX, Kugelman DN, Hepinstall MS, Long WJ, et al. Presence of back pain prior total knee arthroplasty and its effects on short-term patient-reported outcome measures. European Journal of Orthopaedic Surgery & Traumatology. 2022;32(3):541-9.
28. Kalra K, Kohli S, Dhar S. A modified Gaines procedure for spondyloptosis. The Journal of bone and joint surgery British volume. 2010;92(11):1589-91.
29. Choi Y-J, Ra HJ. Patient satisfaction after total knee arthroplasty. Knee surgery & related research. 2016;28(1):1.
30. Kitagawa A, Yamamoto J, Toda M, Hashimoto Y. Spinopelvic alignment and low back pain before and after total knee arthroplasty. Asian spine journal. 2021;15(1):9.
31. Bannuru RR, Osani M, Vaysbrot E, Arden N, Bennell K, Bierma-Zeinstra S, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis and cartilage. 2019;27(11):1578-89.
32. Shohat N, Heller S, Sudya D, Small I, Khawalde K, Khatib M, et al. Mild radiographic osteoarthritis is associated with increased pain and dissatisfaction following total knee arthroplasty when compared with severe osteoarthritis: a systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy. 2022:1-17.
33. Obeid I, Berjano P, Lamartina C, Chopin D, Boissière L, Bourghli A. Classification of coronal imbalance in adult scoliosis and spine deformity: a treatment-oriented guideline. European Spine Journal. 2019;28:94-113.
34. Barrey C, Roussouly P, Le Huec J-C, D’Acunzi G, Perrin G. Compensatory mechanisms contributing to keep the sagittal balance of the spine. European spine journal. 2013;22:834-41.
35. Obeid I, Hauger O, Aunoble S, Bourghli A, Pellet N, Vital J-M. Global analysis of sagittal spinal alignment in major deformities: correlation between lack of lumbar lordosis and flexion of the knee. European spine journal. 2011;20:681-5.
36. Yanagisawa S, Sato N, Shimizu M, Saito K, Yamamoto A, Takagishi K. Relation among the knee, sagittal spinal alignment, and the spinal range of motion: Investigation in local medical check-ups using the SpinalMouse. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology. 2015;2(2):68-71.
37. Lee S-M, Yoon MG, Moon M-S, Lee B-J, Lee S-R, Seo YH. Effect of correction of the contractured flexed osteoarthritic knee on the sagittal alignment by total replacement. Asian spine journal. 2013;7(3):204-11.
| Files | ||
| Issue | Vol 10 No 2 (2024) | |
| Section | Review Article | |
| DOI | https://doi.org/10.18502/jost.v10i2.15510 | |
| Keywords | ||
| TKA Low Back Pain TJA Total Joint Arthroplasty | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Moharrami A, Mirahmadi Eraghi M, Beheshti Fard S, Asadifar A, Fallah E, Mortazavi SJ. Total Knee Arthroplasty in Patients with Concomitant Low Back Pain, Its Effects on Pain, Functional Outcomes and Satisfaction, a Narrative Review. J Orthop Spine Trauma. 2024;10(2):48-51.
