Evidence map›Paper›PMID 39737428›Full record

ArticleJournal of experimental orthopaedics2025

The paradox of lumbopelvic alignment in anterolateral and posterolateral phenotypes of symptomatic hip dysplasia.

Marco Haertlé, Malte Lübbecke, Nils Becker, Henning Windhagen, Quentin Karisch, Sufian S Ahmad

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  10. The rise of hip research in theJournal of experimental orthopaedics · 2025
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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

6 authors.

Marco HaertléDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.ORCID 0000-0003-4303-2347
Malte LübbeckeDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.
Nils BeckerDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.
Henning WindhagenDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.
Quentin KarischDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.
Sufian S AhmadDepartment of Orthopaedic Surgery Hannover Medical School Hannover Germany.ORCID 0000-0001-9763-092X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The relationship between sagittal lumbopelvic alignment and the bony pathomorphology of hip dysplasia is currently at the forefront of clinical and scientific interest. The aim of this study was to determine whether there is a compensatory lumbopelvic aspect associated with the two major acetabular phenotypes in dysplastic hips. Methods: From September 2022 to March 2024, a total of 145 patients with symptomatic bilateral hip dysplasia were included in the study. Hips were categorized into either anterolateral or posterolateral morphologies based on anteroposterior pelvic x-rays. Additionally, the lumbopelvic sagittal alignment was determined radiographically. Furthermore, a multivariable linear regression analysis was conducted to assess the association of lumbopelvic sagittal alignment with additional independent factors. Results: Pelvic tilt (PT) significantly differed between the anterolateral and posterolateral phenotypes of hip dysplasia (16.84° ± 8.75° vs. 11.51° ± 6.63°, respectively; Conclusions: The results of this study reveal a paradox in the hip-spine association in hip dysplasia. Contrary to previous theories, it seems that PT constitutes a component of the corresponding phenotype of dysplastic pathology, rather than functioning as a compensatory tilt. Level Evidence: Level III.

Indexed as

developmental dysplasia of the hippelvic tiltphenotypes of hip dysplasiaradiographic analysissagittal lumbopelvic alignment

Identifiers

PMID39737428
PMCPMC11683776

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