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Conclusions customers with previous spinal fusion are at chance of adverse occasions after main THA. Measures that reduce the danger of these complications should be thought about in this high-risk populace when undergoing primary THA. These patients also needs to be counselled accordingly around their particular risks of undergoing THA. Cite this article Bone Joint J 2020;102-B(6)664-670.Aims The aim of this research would be to compare patient-reported outcom