Spinopelvic Alignment in Patients With Osteoarthrosis of the Hip

Yoshimoto, Hisashi; Sato, Shigeo; Masuda, Takeshi; Kanno, Taiki; Shundo, Motoyuki; Hyakumachi, Takahiko; Yanagibashi, Yasushi

doi:10.1097/01.brs.0000169446.69758.fa

Cited by 170 publications

(80 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Schuler also showed a significant higher pelvic incidence in degenerative spondylolisthesis [29] . Yoshimito denotes that in patients with hip osteoarthritis, pelvic incidence is significantly higher and concludes patients with higher pelvic incidences are at a higher risk for developing hip osteoarthritis in late life [30] . In 2007, some notable studies assessing pelvic incidence, low back pain and degenerative disk diseases were published.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Incidence and Lumbar Spine Instability Correlations in Patients with Chronic Low Back Pain

2012

View full text Add to dashboard Cite

Purpose: Many factors such as lumbar instability and spinopelvic alignment are associated with low back pain. Our purpose was to analyze the pelvic incidence -one of spinopelvic alignment parameters-and spine instability correlations in patients with chronic low back pain.Methods: Fifty-two patients suffering from chronic low back pain entered this case control study. Lateral spine radiography was taken from patients. pelvic incidence and L3, L4 and L5's vertebral body width were measured for all patients, and lumbar instability was evaluated in 3 different levels: L5-S1, L4-L5 and L3-L4.Results: Thirty-two patients having lumbar instability formed group A and 20 patients without lumbar spine instability allocated to group B. Average age, mean weight, height, body mass index and mean vertebral width of both groups did not differ meaningfully. Pelvic incidence's mean amounts set to 53.9 in group B and 57.7 in group A without any significant difference; but pelvic incidence was significantly lower in patients with lumbar instability of L5-S1 origin (P=0.01). Conclusions:Overall, pelvic incidence did not differ between two groups. However, separate evaluation of each level revealed lumbar instability of L5-S1 segment to be associated with lower pelvic incidence.

show abstract

Section: Discussionmentioning

confidence: 99%

Pelvic Incidence and Lumbar Spine Instability Correlations in Patients with Chronic Low Back Pain

2012

View full text Add to dashboard Cite

show abstract

“…It has been known that degenerative pathologies of the spine also affect the hip through compensatory mechanism in the tilt of the pelvis, which place increased stress on the hip joints which can lead to osteoarthritis. [182730]…”

Section: Discussionmentioning

confidence: 99%

“…[4101328] Moreover, by correcting the spinal deformity and improving the overall global sagittal balance, these patients rely less on compensatory mechanisms and remain in a more energy efficient posture. [1230]…”

Section: Discussionmentioning

confidence: 99%

Predictive parameters for the antecedent development of hip pathology associated with long segment fusions to the pelvis for the treatment of adult spinal deformity

et al. 2016

View full text Add to dashboard Cite

Background:The surgical treatment of adult scoliosis frequently involves long segment fusions across the lumbosacral joints that redistribute tremendous amounts of force to the remaining mobile spinal segments as well as to the pelvis and hip joints. Whether or not these forces increase the risk of femoral bone pathology remains unknown. The aim of this study is to determine the correlation between long segment spinal fusions to the pelvis and the antecedent development of degenerative hip pathologies as well as what predictive patient characteristics, if any, correlate with their development.Methods:A retrospective chart review of all long segment fusions to the pelvis for adult degenerative deformity operated on by the senior author at the Duke Spine Center from February 2008 to March 2014 was undertaken. Enrolment criteria included all available demographic, surgical, and clinical outcome data as well as pre and postoperative hip pathology assessment. All patients had prospectively collected outcome measures and a minimum 2-year follow-up. Multivariable logistic regression analysis was performed comparing the incidence of preoperative hip pain and antecedent postoperative hip pain as a function of age, gender, body mass index (BMI), and number of spinal levels fused.Results:In total, 194 patients were enrolled in this study. Of those, 116 patients (60%) reported no hip pain prior to surgery. Eighty-three patients (71.6%) remained hip pain free, whereas 33 patients (28.5%) developed new postoperative hip pain. Age, gender, and BMI were not significant among those who went on to develop hip pain postoperatively (P < 0.0651, 0.3491, and 0.1021, respectively). Of the 78 patients with preoperative hip pain, 20 patients (25.6%) continued to have hip pain postoperatively, whereas 58 patients reported improvement in the hip pain after long segment fusion for correction of their deformity, a 74.4% rate of reduction. Age, gender, and BMI were not significant among those who continued to have hip pain postoperatively (P < 0.4386, 0.4637, and 0.2545, respectively). Number of levels fused was not a significant factor in the development of hip pain in either patient population; patients without preoperative pain who developed pain postoperatively (P < 0.1407) as well as patients with preoperative pain who continued to have pain postoperatively (P < 0.0772).Conclusion:This study demonstrates that long segment lumbosacral fusions are not associated with an increase in postoperative hip pathology. Age, gender, BMI, and levels fused do not correlate with the development of postoperative hip pain. The restoration of spinal alignment with long segment fusions may actually decrease the risk of developing femoral bone pathology and have a protective effect on the hip.

show abstract

“…Although the pathomechanism of SIF is not clearly revealed, it seems to be a multifactorial disease. An excessive contact pressure at the femoral head is a risk factor as well as osteoporosis (3), Lumbar kyphosis leads to a posterior tilt of the pelvis to maintain the balance in a standing position (4). The posterior pelvic tilt causes a decrease in the anterior coverage of the acetabulum, which also induces an excessive pressure on the femoral head (5).…”

Section: Introductionmentioning

confidence: 99%

Decreased Lumbar Lordosis and Deficient Acetabular Coverage Are Risk Factors for Subchondral Insufficiency Fracture

Lee

Chae

et al. 2016

J Korean Med Sci

View full text Add to dashboard Cite

Subchondral insufficiency fracture (SIF) of the femoral head occurs in the elderly and recipients of organ transplantation. Osteoporosis and deficient lateral coverage of the acetabulum are known risk factors for SIF. There has been no study about relation between spinopelvic alignment and anterior acetabular coverage with SIF. We therefore asked whether a decrease of lumbar lordosis and a deficiency in the anterior acetabular coverage are risk factors. We investigated 37 patients with SIF. There were 33 women and 4 men, and their mean age was 71.5 years (59-85 years). These 37 patients were matched with 37 controls for gender, age, height, weight, body mass index and bone mineral density. We compared the lumbar lordosis, pelvic incidence, pelvic tilt, sacral slope, acetabular index, acetabular roof angle, acetabular head index, anterior center-edge angle and lateral center-edge angle. Lumbar lordosis, pelvic tilt, sacral slope, lateral center edge angle, anterior center edge angle, acetabular index and acetabular head index were significantly different between SIF group and control group. Lumbar lordosis (OR = 1.11), lateral center edge angle (OR = 1.30) and anterior center edge angle (OR = 1.27) had significant associations in multivariate analysis. Decreased lumbar lordosis and deficient anterior coverage of the acetabulum are risk factors for SIF as well as decreased lateral coverage of the acetabulum.

show abstract

Spinopelvic Alignment in Patients With Osteoarthrosis of the Hip

Cited by 170 publications

References 32 publications

Pelvic Incidence and Lumbar Spine Instability Correlations in Patients with Chronic Low Back Pain

Pelvic Incidence and Lumbar Spine Instability Correlations in Patients with Chronic Low Back Pain

Predictive parameters for the antecedent development of hip pathology associated with long segment fusions to the pelvis for the treatment of adult spinal deformity

Decreased Lumbar Lordosis and Deficient Acetabular Coverage Are Risk Factors for Subchondral Insufficiency Fracture

Contact Info

Product

Resources

About