ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
Impact of spinal alignment and stiffness on impingement after total hip arthroplasty: a radiographic study of pre- and post-operative spinopelvic alignment.
Article in 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Association between sagittal spinal alignment and mechanical complications after primary total hip arthroplasty: a systematic review.The Journal of international medical research · 2022Pooled it
- Does Total Hip Arthroplasty Influence Pelvic Version? A Retrospective Case Control Study Using the Sacro-Femoro-Pubic Angle in Osteoarthritis and Fracture Patients.Medicina (Kaunas, Lithuania) · 2025Article
- The L1 spino-pelvic (L1SP) angle: a simplified approach for the assessment of the PI-LL mismatch in hip surgery.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2025Article
- Dynamic change of acetabular component position in total hip arthroplasty based on the spinopelvic classification: a prospective radiographic study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The Association between prior arthroplasty and Paraspinal Muscle Degeneration in patients undergoing elective lumbar surgery.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 · 2024Article
- Sagittal balance in sitting and standing positions: A systematic review of radiographic measures.Heliyon · 2024Review
- An Analysis of the Preoperative Factors, Spinopelvic Mobility and Sagittal Spinal Alignment in Pre-THA Patients.Journal of clinical medicine · 2023Article
- Hip-Spine Syndrome: A Focus on the Pelvic Incidence in Hip Disorders.Journal of clinical medicine · 2023Review
- Association of age and spinopelvic function in patients receiving a total hip arthroplasty.Scientific reports · 2023Observational
- Impact of Lower Extremity Arthroplasty on Improvement of Quality-of-Life Outcomes Following Lumbar Fusion.International journal of spine surgery · 2022Article
- Spinopelvic alignment and low back pain after total hip arthroplasty: a scoping review.BMC musculoskeletal disorders · 2022Article
- Does obesity affect acetabular cup position, spinopelvic function and sagittal spinal alignment? A prospective investigation with standing and sitting assessment of primary hip arthroplasty patients.Journal of orthopaedic surgery and research · 2021Article
- Impact of Flatback Deformity and Stiff Spinopelvic Mobility on 3-Dimensional Pelvic and Hip Kinematics After Total Hip Arthroplasty.JB & JS open accessArticle
- Dynamic Radiography Analysis of Functional Safe Zone During Sit-to-Stand Motion After Total Hip Arthroplasty and Its Association with Preoperative Factors.JB & JS open accessArticle
- Flatback Deformity and Stiff Pelvic Mobility Alter the Optimal Cup Anteversion After Total Hip Arthroplasty: Insights from 3D-to-2D Model-Image Registration Analysis.JB & JS open accessArticle
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRecent studies have revealed the impact of spinopelvic factors on the risk of dislocation after total hip arthroplasty (THA). This study examined the risk factors of impingement that can lead to dislocation using pre- and postoperative spinopelvic radiographs.
methodsWe studied 143 consecutive patients with end-stage hip osteoarthritis who were eligible for THA at our institute. Pre-operative pelvic incidence (PI), sacral slope (SS), lumbar lordosis (LL), sagittal vertical axis (SVA) in the standing and sitting position, and centre-edge angle (CE) were measured. The post-operative SS, LL, SVA, femoral shaft angle, and radiographic alignment of the acetabular component were also measured. We performed a multiple linear regression analysis to determine the risk factors for anterior and posterior impingement using pre-operative demographic and radiographic parameters. The clearance of anterior and posterior implant impingement was used for the surrogate-dependent variable for dislocation.
resultsA total of 95 patients were included in the analysis. There were significant differences in SS, LL, and SVA between the standing and sitting positions (P < 0.001). A multiple linear regression analysis showed that the PI-LL, LL changes, and CE were associated with the posterior impingement (β = - 0.21, 0.24, and -0.27, respectively). Moreover, PI-LL was also associated with the anterior impingement in the sitting position (β = - 0.27).
conclusionOur results suggest that a flatback with a rigid spine leads to posterior impingement, and a well-balanced spine leads to anterior impingement, which can be a potential risk factor for dislocation.
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