{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:15Z","timestamp":1787755815859,"version":"build-2784847793"},"reference-count":52,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb For patients with both lumbar spine pathology, hip and knee degenerative joint disease, it is important to consider the implications of surgically addressing each anatomic region first.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Performing total hip arthroplasty before lumbar spine fusion may decrease the risk of dislocation and revision surgery; however, if spinal fusion is performed first, it may be protective to wait 1 to 2 years to lower the risk of complications.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb In all patients with concurrent hip and low back symptoms, it is recommended that an evaluation of both areas is performed before proceeding with either surgical intervention.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb If arthroplasty procedures are to occur in a staged fashion, adverse events in high-risk patients may be mitigated by waiting for more than 1 year between procedures. Staged procedures performed less than 30 days apart are at increased risk of medical and surgical complications.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Simultaneous bilateral total joint arthroplasty procedures should likely be avoided in more elderly patients, those with higher body mass index and those with a greater burden of medical comorbidities due to the increased risks of postoperative complications<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.25.00010","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T14:00:41Z","timestamp":1747663241000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Timing and Selection of Lower Extremity Arthroplasty Procedures: Which to Perform First and When to Consider Simultaneous Bilateral Procedures"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7074-8845","authenticated-orcid":false,"given":"Nicole D.","family":"Quinlan","sequence":"first","affiliation":[{"name":"Raleigh Orthopaedic Clinic, Raleigh, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9489-8572","authenticated-orcid":false,"given":"Todd M.","family":"Miner","sequence":"additional","affiliation":[{"name":"Colorado Joint Replacement, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2047-783X","authenticated-orcid":false,"given":"Jason M.","family":"Jennings","sequence":"additional","affiliation":[{"name":"Colorado Joint Replacement, Denver, Colorado"},{"name":"Department of Mechanical and Materials Engineering, University of Denver, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1803-5629","authenticated-orcid":false,"given":"Douglas A.","family":"Dennis","sequence":"additional","affiliation":[{"name":"Colorado Joint Replacement, Denver, Colorado"},{"name":"Department of Mechanical and Materials Engineering, University of Denver, Denver, Colorado"},{"name":"Department of Orthopaedics, University of Colorado School of Medicine, Denver, Colorado"},{"name":"Department of Biomedical Engineering, University of Tennessee, Knoxville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5]]},"reference":[{"issue":"4","key":"r1-20250927","doi-asserted-by":"crossref","first-page":"780","DOI":"10.2106\/00004623-200704000-00012","article-title":"Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030","volume":"89","author":"Kurtz","year":"2007","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"r2-20250927","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1186\/1741-7015-11-144","article-title":"Ipsilateral lower extremity joint involvement increases the risk of poor pain and function outcomes after hip or knee arthroplasty","volume":"11","author":"Singh","year":"2013","journal-title":"BMC Med"},{"issue":"20","key":"r3-20250927","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.2106\/JBJS.L.01007","article-title":"Patient-reported outcomes after total knee replacement vary on the basis of preoperative coexisting disease in the lumbar spine and other nonoperatively treated joints, the need for a musculoskeletal comorbidity index","volume":"95","author":"Ayers","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"20","key":"r4-20250927","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.2106\/JBJS.17.00948","article-title":"Risk of subsequent joint arthroplasty in contralateral or different joint after index shoulder, hip, or knee arthroplasty: association with index joint, demographics, and patient-specific factors","volume":"100","author":"Lamplot","year":"2018","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"r5-20250927","doi-asserted-by":"crossref","first-page":"396","DOI":"10.2106\/JBJS.16.00499","article-title":"Subsequent total joint arthroplasty after primary total knee or hip arthroplasty: a 40-year population-based study","volume":"99","author":"Sanders","year":"2017","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"r6-20250927","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/CORR.0000000000000925","article-title":"What is the likelihood of subsequent arthroplasties after primary TKA or THA? 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