Evidence map›Paper›PMID 39399321›Full record

ReviewJournal of orthopaedics2025

Spinopelvic alignment and precise cup placement in total hip arthroplasty - A systematic review.

S Ram Sudhan, Sibin Surendran, Naveen P Gopinath, Jijulal C U, V V Muhammed Fazil, P Gopinathan, K V Nikhil

Abstract readReview
In one paragraph

Review in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

S Ram SudhanFellow in Arthroplasty, Sports surgery & Rehabilitation, Yenepoya Medical College Hospital, Yenepoya University, Deralakatte, Karnataka, 575018, India.
Sibin SurendranDepartment of Orthopaedics, Government Medical College, Kozhikode, Kerala, 673008, India.
Naveen P GopinathDepartment of Orthopaedics, GMC Ortho Foundation Hospital and Research Centre, Kozhikode, Kerala, 673011, India.
Jijulal C UDepartment of Orthopaedics, GMC Ortho Foundation Hospital and Research Centre, Kozhikode, Kerala, 673011, India.
V V Muhammed FazilIQRAA International Hospital and Research Centre, Kozhikode, 673009, India.
P GopinathanDepartment of Orthopaedics, GMC Ortho Foundation Hospital and Research Centre, Kozhikode, Kerala, 673011, India.
K V NikhilMeitra Hospital, Kozhikode, Kerala, 673005, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study Design: A systematic literature review and meta- analysis. Objective: To extract and combine the available literature focused on normal and abnormal biomechanical principles of spine-pelvis-hip complex and to sum up the data in the application of THA both in the setting with and without spinal disorders. Methods: An extensive search and analysis of the articles was done by 3 authors independently in 7 platforms based on PRISMA and MOOSE guidelines. Selection criteria 1. Articles that assessed spinopelvic parameters (SS, SPT, PI, and acetabular cup orientation) in patients undergoing THA, Articles that assessed balance in spinopelvic complex after THA, Randomized control studies, Systematic literature reviews, Meta-analyses, Clinical trials / original research studies, Review articles and Articles after 2015 were included. Cochrane's GRADE method was used to define the level of evidence. 2.Participants: Patients who underwent THA only (in asymptomatic spine), those who had ankylosing spondylitis and underwent THA and those who underwent THA with prior spinal arthrodesis. 3.Study parameters: Ante Inclination (AI), sacral slope (SS), pelvic Incidence (PI) and spinopelvic tilt (SPT) in both positions of standing and sitting. ΔAI, ΔSS and ΔSPT. Data were collected and analyzed, the means of the study parameters with SD were calculated and a meta-analysis is performed to evaluate the pooled means with optimal value range. Results: From 218 abstracts extracted and after eligibility assessment and exclusion, 4 articles involving 439 patients were enrolled. The mean SS in standing and sitting calculated were 35.53±10.52 and 33.13±12.38. The mean of AI and SPT in standing /sitting positions are 29.7±12.29/34.69±12.96 (n = 242) and 19.56±8.9/21.22±12.53 (n=439) respectively. The ΔAI, ΔSS, and ΔSPT were 4.99,2.4 and 1.66 respectively. Conclusion: There is a proportionate change between the spinopelvic tilt and the acetabular orientation in postural variations. Evaluation of spine, pelvis and hip becomes more critical in identifying these changes and thereby prompting the acetabular cup position in the functional safe zone.

Identifiers

PMID39399321
PMCPMC11470479

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.