ReviewEFORT open reviews2020
Pelvic motion the key to understanding spine-hip interaction.
Review in EFORT open reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review and update on diagnosis and treatment of new onset sacroiliac joint dysfunction after lumbar fusion.Acta neurochirurgica · 2024Pooled it
- The role of the femoral component orientation on dislocations in THA: a systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- High pelvic incidence is associated with inferior one-year outcomes after hip arthroscopy for femoroacetabular impingement: a multicentre study with spinopelvic analysis.International orthopaedics · 2026Article
- Residual sagittal imbalance is associated with early hip degeneration after long lumbosacral fusion: an EOS-based study of 119 patients.Spine deformity · 2026Article
- The Effect of Age, Sex, and Body Mass Index on Spinopelvic Balance Throughout Childhood and Adolescence: An Automated 3D-Computed Tomography Study of 9,721 Pediatric Patients.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Bridging postural biomechanics and knee arthroplasty success.Arthroplasty (London, England) · 2026Review
- Adult Gait Kinematics and Muscle Strength After Childhood Pemberton Osteotomy for Developmental Dysplasia of the Hip.Acta orthopaedica et traumatologica turcica · 2026Article
- Hemipelvis malrotation deformity leading to instability: The need for careful preoperative radiographic evaluation in total hip arthroplasty.Radiology case reports · 2026Article
- Reduced spinopelvic mobility does not correlate with knee flexion deformity in patients undergoing total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Risk of total hip arthroplasty following lumbar fusion surgery in a nationwide cohort study.Scientific reports · 2026Article
- The mediating role of sacral slope in the relationship between lumbar lordosis and knee alignment in knee osteoarthritis: an imaging study.Frontiers in bioengineering and biotechnology · 2026Review
- Unraveling the causal landscape of intervertebral disc degeneration: A Mendelian randomization analysis of 108 traits.Medicine · 2025Article
- Thoracic and pelvic compensation during lumbar degeneration: a retrospective study of 625 asymptomatic adults.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 · 2025Article
- Evaluating Variations in Spinopelvic Parameters from Sitting to Standing: A Comparative Analysis of 1447 Older Adults Across Age, BMI, and Gender Subgroups.Journal of clinical medicine · 2025Article
- The role of pelvic coronal parameters in determining sagittal balance: a prospective radiographic analysis of pelvic spinopelvic alignment in Chinese asymptomatic Han adolescents.Frontiers in pediatrics · 2025Article
- The effect of degenerative scoliosis and spinopelvic parameters on dislocation of hip hemiarthroplasty.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Effect of lumbosacral transitional vertebra on developmental alterations of the hip: a quantitative investigation of the lumbo-pelvic-hip complex via whole-body computed tomography.Quantitative imaging in medicine and surgery · 2024Article
- The Effect of Pelvic Incidence on Outcomes After Hip Arthroscopy for Femoroacetabular Impingement and Acetabular Labral Tears.The American journal of sports medicine · 2024Article
- Anatomical Pelvic Parameters Using the Anterior Pelvic Plane: Normative Values and Estimation of the Standing Sagittal Alignment in Healthy Volunteers.Spine surgery and related research · 2024Article
- Impact of previous lumbar spine surgery on total hip arthroplasty and vice versa: How long should we be concerned about mechanical failure?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 · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pelvic motion acting as a hinge between the spine and hips is essential to maintain proper balance during bipedalism. Pelvic rotation is recruited as a compensation mechanism when spinal malalignment occurs.This pelvic rotation can affect functional acetabular orientation, and consequently functional cup positioning if a total hip arthroplasty (THA) is needed. Pelvic retroversion, frequently associated with degenerative spinal changes, implies an increase of acetabular version.Patients with flexible lumbar spines (spine users) protect the hip joint. Patients with stiff, degenerated or fused lumbar spines (hip users) demand higher hip mobility, placing the THA at risk.Pelvises in retroversion place the THA at risk for anterior dislocation when standing. In contrast, pelvises in anteversion or with low pelvic incidence (PI) can place THA at risk for posterior dislocation when sitting.Try to set the cup in an anatomic position. However, bear in mind that low PI pelvises may need more acetabular ante-inclination, and high PI pelvises more acetabular retroversion.If surgery is needed, start first by addressing the hip, except in patients with compensation (high pelvic retroversion), who may need spine surgery first to place the pelvis, and consequently the acetabulum, in a proper position. Cite this article:
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