Spinal Compared with General Anesthesia in Contemporary Primary Total Hip Arthroplasties

• DOI: 10.2106/jbjs.22.00280
• Publication Date: 2022-06-21T13:49:40Z
• Authors: Aaron R. Owen; Adam W. Amundson; Kristin M. Fruth; Christopher M. Du...; Hugh M. Smith; Rebecca L. Johnson; Michael J. Taunton; Mark W. Pagnano; Daniel J. Berry; Matthew P. Abdel
• Keywords: Male; Arthroplasty, Replacement, Hip; Pain; Anesthesia, General; Middle Aged; Anesthesia, Spinal; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Humans; Female; Retrospective Studies

The specific advantages of spinal anesthesia compared with general for primary total hip arthroplasty (THA) remains unknown. Therefore, this study aimed to investigate the pain control, length stay, and postoperative outcomes associated in a large cohort THAs from single, high-volume academic institution.We retrospectively identified 13,730 (11,319 patients) 2001 2016 using our joint registry. Of these cases, 58% had 42% anesthesia. demographic characteristics were similar between groups, mean age 64 years, 51% female, body mass index (BMI) 31 kg/m 2 . Data analyzed an inverse probability treatment weighted model based on propensity score that accounted numerous patient operative factors. follow-up was 6 years.Patients treated lower Numeric Pain Rating Scale (NPRS) scores (p < 0.001) required fewer oral morphine equivalents (OMEs) at all time points evaluated 0.001). Patients also shorter hospital stay = 0.02), altered mental status events (odds ratio [OR], 0.7; p intensive care unit (ICU) admissions (OR, 0.01). There no difference incidence deep vein thrombosis 0.8), pulmonary embolism 0.4), 30-day readmissions 0.17), 90-day 0.18), all-cause revisions or reoperations 0.14).In large, single-institution study, we found reduced OME use postoperatively. Furthermore, resulted ICU admissions. These data favor THAs.Therapeutic Level III See Instructions Authors complete description levels evidence.