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            [0] => Sequential Surgical Management of Concurrent Lumbar Spine and Knee Degenerative Disorders: A Comprehensive Retrospective Study
        )

    [etablissement] => Array
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            [0] => CHU Mongi Slim - Marsa
        )

    [nom] => Array
        (
            [0] => Zendeoui
        )

    [prenom] => Array
        (
            [0] => Ahmed
        )

    [email] => Array
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            [0] => ahmed.zendeoui@gmail.com
        )

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            [0] => 92604163
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            [0] => 
 
Nom prénom: Ahmed Zendeoui
Email: ahmed.zendeoui@gmail.com
Hôpital: CHU Mongi Slim - Marsa

 
Nom prénom: Ramzi Bouzidi
Email: ramzibouzidi1968@gmail.com
Hôpital: CHU Mongi Slim - Marsa

 
Nom prénom: Hichem Abid
Email: hichabid1989@gmail.com
Hôpital: CHU Mongi Slim - Marsa

 
Nom prénom: Hedi Ezzine
Email: mohamedhediezzine@gmail.com
Hôpital: CHU Mongi Slim - Marsa

 
Nom prénom: Mouadh Nefiss
Email: mouadhnefiss2@gmail.com
Hôpital: CHU Mongi Slim - Marsa

 
Nom prénom: Khelil Ezzaouia
Email: khelil.ezzaouia@gmail.com
Hôpital: CHU Mongi Slim - Marsa

        )

    [mots_cles] => Array
        (
            [0] => Knee osteoarthritis, Lumbar spine degeneration, Treatment sequencing;

        )

    [event-id] => Array
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            [0] => 3663
        )

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            [0] => 1
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    [abstract] => Array
        (
            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/Sequential-Surgical-Management-of-Concurrent-Lumbar-Spine-and-Knee-Degenerative-Disorders-A-Comprehensive-Retrospective-Study.pdf
        )

    [user_email] => Array
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            [0] => ahmed.zendeoui@gmail.com
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction:
The coexistence of lumbar spine degeneration and knee osteoarthritis poses significant challenges in diagnosis and treatment, necessitating a comprehensive therapeutic approach. The optimal sequence of surgical interventions for patients with concurrent degenerative lumbar spine disease and knee osteoarthritis remains debated, with limited literature addressing this complex relationship.

Methods:
We conducted a retrospective monocentric study spanning four years, from 2016 to 2019, involving 50 patients undergoing spinal and/or knee surgery for degenerative lumbar spine disease and knee osteoarthritis. Patients were categorized into two groups based on the therapeutic sequence. Clinical and radiological data were analyzed to assess preoperative symptoms, functional outcomes, and patient satisfaction.

Results:
Patients undergoing total knee arthroplasty (TKA) primarily for knee osteoarthritis exhibited improved knee function postoperatively, with variations in outcomes based on the presence and severity of preoperative spinal symptoms. Those with isolated knee pain experienced the most significant improvement, while patients with concurrent spinal symptoms demonstrated lesser gains in knee function and satisfaction. Additionally, spinal parameters such as sagittal imbalance influenced post-TKA outcomes, with better functional results observed in patients with a preoperative mismatch of less than 13.

Conclusion:
Individualized treatment strategies are essential for patients with concurrent lumbar spine degeneration and knee osteoarthritis, considering preoperative symptoms and radiological findings. Our study highlights the importance of preoperative assessment in predicting postoperative outcomes and guiding therapeutic decisions. 
Keywords: Knee osteoarthritis, Lumbar spine degeneration, Treatment sequencing
        )

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