ArticleInternational orthopaedics2020
How do global sagittal alignment and posture change after total hip arthroplasty?
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 29 citations in OpenAlex.
- Changes in low back pain, global sagittal alignment, and spinopelvic parameters following primary total hip arthroplasty: results of a prospective observational study with two-year follow-up.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Pelvic incidence correlates more strongly with proximal than distal lordosis and most strongly with L1-pelvic angle.Spine deformity · 2026Article
- Preoperative radiographical degenerative lumbar spondylolisthesis does not affect clinical outcomes of total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Article
- Femoral neck version in the spinopelvic and lower limb 3D alignment: a full-body EOSEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Evaluation of changes in radiographic spinopelvic parameters after primary total hip arthroplasty and its relationship with short-term patient function.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Relation between sagittal pelvic and thoracolumbar parameters in supine position - Pelvic parameters and their predictive value for spinal Cobb angles.Brain & spine · 2024Article
- The Current Proposed Total Hip Arthroplasty Surgical Planning Guidelines Based on Classification of Spine Stiffness May be Flawed Due to Incorrect Assumptions.The Journal of arthroplasty · 2023Article
- Sagittal alignment in patients with flexion contracture of the hip before and after total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- The Impact of Global Spinal Alignment on Standing Spinopelvic Alignment Change After Total Hip Arthroplasty.Global spine journal · 2023Article
- Validation of a preoperative formula to estimate postoperative pelvic sagittal alignment and mobility before performing total hip arthroplasty for patients with hip osteoarthritis.Arthroplasty (London, England) · 2023Article
- The Impact of Hip Mobility on Lumbar and Pelvic Mobility before and after Total Hip Arthroplasty.Journal of clinical medicine · 2022Article
- Investigating sagittal spinal alignment, low back pain, and clinical outcomes after total hip arthroplasty for lumbar hyperlordosis: a retrospective study.Archives of orthopaedic and trauma surgery · 2022Article
- Risk Factors for Progressive Spinal Sagittal Imbalance in the Short-Term Course after Total Hip Arthroplasty: A 3 Year Follow-Up Study of Female Patients.Journal of clinical medicine · 2022Article
- Change of Pelvic Sagittal Tilt after Total Hip Arthroplasty in Patients with Bilateral Crowe Type IV Developmental Dysplasia of the Hip.Orthopaedic surgery · 2022Article
- How much change in pelvic sagittal tilt can result in hip dislocation due to prosthetic impingement? A computer simulation study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Article
- Sagittal Spinopelvic Translation Is Combined With Pelvic Tilt During the Standing to Sitting Position: Pelvic Incidence Is a Key Factor in Patients Who Underwent THA.Arthroplasty today · 2020Article
- Impact of Flatback Deformity and Stiff Spinopelvic Mobility on 3-Dimensional Pelvic and Hip Kinematics After Total Hip Arthroplasty.JB & JS open accessArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostural change after total hip arthroplasty (THA) is still a matter of discussion. Previous studies have mainly concentrated on the pelvic motions. We report the post-operative changes of the global sagittal posture using pelvic, spinal, and lower extremities parameters.
methods139 patients (primary THA, without previous spinal or lower extremity surgery) were included. We measured pelvic parameters [SS, sacral slope; PI, pelvic incidence; PT, pelvic tilt; APP angle, anterior pelvic plane angle] and the global posture parameters (SVA, sagittal vertical angle; GSA, global sagittal angle; TPA, T1 pelvic angle). Patients were categorized into low PI group < 45°, 45° < medium PI < 65°, and high PI > 65°.
resultsMean GSA and SVA decreased post-operatively (p = 0.005 and p = 0.004 respectively). The TPA change was not significant (p = 0.078). In the low PI group, GSA (5.4 ± 5.0 to 4.3 ± 4.0, p = 0.005) and SVA (5.4 ± 4.9 to 4.2 ± 4.1, p = 0.038) decreased with more posterior pelvic tilt. Post-operative TPA was significantly higher (8.4 ± 10.6 to 9.8 ± 10.7; p = 0.048). In the medium PI group, SVA decreased (4.2 ± 4.6 to 3.6 ± 4.5, p = 0.020) with more posterior pelvic tilt. In the high PI group, pelvic and global posture parameters did not evolve significantly.
conclusionPI is the key determining factor in pelvic tilt modification after THA. Patients with low PI demonstrate significant modification in spine, pelvic, and lower extremities. Pelvic tilt is the main adaptation mechanism for medium incidence patients whereas pelvic tilt does not change in high PI patients after surgery.
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