ReviewEFORT open reviews2022
Current concepts in hip-spine relationships: making them practical for total hip arthroplasty.
Review in EFORT open reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Outcomes and complications of Total Hip Arthroplasty in patients with a pre-existing pathologic spine-hip relation. A systematic review of the literature.International orthopaedics · 2024Pooled it
- Total hip arthroplasty has higher complication rates in stiff spine patients: a systematic review and network meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Influence of Pelvic Tilt and Bone Morphology on Extra-Articular Bony Impingement in Total Hip Arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Acetabular cup orientation differs across surgical approaches in primary total hip arthroplasty: a retrospective analysis.International orthopaedics · 2026Article
- A Narrative Review of Spinopelvic Alignment Changes After Total Hip Arthroplasty.Journal of clinical medicine · 2026Review
- Article
- Association between spinopelvic parameters and clinical outcomes following hip fracture: an observational retrospective study.Frontiers in surgery · 2026Article
- The Association Between Spinopelvic Parameters and Hip Fracture Types.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Constrained acetabular liners in the instability of hip arthroplasty: what is its current role in revision surgery?Archives of orthopaedic and trauma surgery · 2025Article
- Pelvic version and kinematics in patients with total hip arthroplasty: a scoping review of current classification systems and recommendations based on spinal alignment.Bone & joint open · 2025Article
- Application of artificial intelligence-based three dimensional digital reconstruction technology in precision treatment of complex total hip arthroplasty.International orthopaedics · 2025Article
- What Is the Functional Spinopelvic Relationship in Three Dimensions? A CT and EOS Study.Clinical orthopaedics and related research · 2025Article
- Factors associated with the progression of sagittal spinal deformity after total hip arthroplasty: a propensity score-matched cohort study.International orthopaedics · 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
- Accuracy of cup placement compared with preoperative surgeon targets in primary total hip arthroplasty using standard instrumentation and techniques: a global, multicenter study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- Hip-spine relationship: clinical evidence and biomechanical issues.Archives of orthopaedic and trauma surgery · 2024Review
- 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
- Current Concepts in Diagnosis and Management of Patients Undergoing Total Hip Replacement with Concurrent Disorders of Spinopelvic Anatomy: A Narrative Review.Medicina (Kaunas, Lithuania) · 2023Review
- 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
- Evolution of Concepts: Can Personalized Hip Arthroplasty Improve Joint Stability?Journal of clinical medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hip, spine, and pelvis move in coordination with one another during activity, forming the lumbopelvic complex (LPC). These movements are characterized by the spinopelvic parameters sacral slope, pelvic tilt, and pelvic incidence, which define a patient's morphotype. LPC kinematics may be classified by various systems, the most comprehensive of which is the Bordeaux Classification. Hip-spine relationships in total hip arthroplasty (THA) may influence impingement, dislocation, and edge loading. Historical 'safe zones' may not apply to patients with impaired spinopelvic mobility; adjustment of cup inclination and version and stem version may be necessary to achieve functional orientation and avert complications. Stem design, bearing surface (including dual mobility), and head size are part of the armamentarium to treat abnormal hip-spine relationships. Special attention should be directed to patients with adult spine deformity or fused spine because they are at increased risk of complications after THA.
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