{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:35Z","timestamp":1787755175951,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>This report describes a case of an unstable spine fracture in the setting of severe degenerative disc disease in a patient who underwent a direct anterior total hip arthroplasty (THA). The patient was positioned supine on a standard operating room table and postoperatively complained of back pain and neurologic deficits. Advanced imaging identified a T12-L1 extension-distraction injury, and the patient ultimately required surgical decompression and spinal fusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case outlines a serious complication of THA that can occur in patients with degenerative spine disease and highlights the importance of taking precautions to reduce stress on the spine during surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.01040","type":"journal-article","created":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T15:00:09Z","timestamp":1630076409000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Three-Column Spine Fracture After Direct Anterior Total Hip Arthroplasty"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5524-8543","authenticated-orcid":false,"given":"Gina M.","family":"Mosich","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7698-1891","authenticated-orcid":false,"given":"Nicolas","family":"Sapountzis","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0906-7554","authenticated-orcid":false,"given":"Mathias P.","family":"Bostrom","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5594-6819","authenticated-orcid":false,"given":"Allan E.","family":"Inglis","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"80","DOI":"10.3171\/SPI-08\/01\/080","article-title":"Iatrogenic paraplegia in two morbidly obese patients with ankylosing spondylitis undergoing total hip arthroplasty: report of 2 cases","volume":"8","author":"Danish","year":"2008","journal-title":"J Neurosurg Spine."},{"key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.spinee.2006.12.002","article-title":"Fracture dislocation of the spine after total hip arthroplasty in a patient with ankylosing spondylitis with early pseudoarthrosis","volume":"8","author":"Mahesh","year":"2008","journal-title":"Spine 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approach?","volume":"472","author":"Rodriguez","year":"2014","journal-title":"Clin Orthop Relat Res."},{"issue":"suppl 6","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"107","DOI":"10.2106\/JBJS.I.00525","article-title":"Enhanced early outcomes with the anterior supine intermuscular approach in primary total hip arthroplasty","volume":"91","author":"Berend","year":"2009","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1302\/0301-620X.99B6.38053","article-title":"The direct anterior approach in total hip arthroplasty: a systematic review of the literature","volume":"99-B","author":"Meermans","year":"2017","journal-title":"Bone Joint J."},{"issue":"7S","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1016\/j.arth.2019.01.012","article-title":"A preoperative workup of a \u201chip-spine\u201d total hip arthroplasty patient: a simplified approach to a complex problem","volume":"34","author":"Luthringer","year":"2019","journal-title":"J Arthroplasty."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.01040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:40Z","timestamp":1787751520000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.01040"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.01040","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}