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Do Spinopelvic Parameters Relate with Secondary Hip Spine Syndrome in Secondary Hip Arthritis?
Indian Journal of Orthopaedics ( IF 1 ) Pub Date : 2022-09-10 , DOI: 10.1007/s43465-022-00741-1
Mantu Jain 1 , Ayesha Mohapatra 1 , Sujit Kumar Tripathy 1 , Sudipta Mohakud 2 , Ashish Das 3 , Siddharth S Sethy 1
Affiliation  

Background

The prevalence of low back pain (LBP) with primary osteoarthritis (OA) hip undergoing total hip replacement (THA) has been studied. However, secondary OA hip affects younger individuals where changes in the sagittal spinal parameters (SSPs) could be reversible to reduce LBP. The study aims to document changes in clinical and radiological parameters following THA.

Methods

Thirty patients with secondary OA hip were included in the prospective analysis, excluding anyone with previous spine/hip surgery of known spinal diseases, including deformity, inflammatory or infective pathology. Visual analog scale for (VAS) hip and LBP, Oswestry disability index (ODI), and Harris core (HHS) along with SSPs were measured at baseline and three months and analyzed.

Results

 Mean age was 42.8 ± 8.9 years which 17 unilateral (U/L) and 13 bilateral (B/L) OA. Overall, no significant changes were seen in SSPs that included pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), pelvic incidence–lumbar lordosis (PI–LL) was seen except for an improvement in the sagittal vertical axis (SVA) [40.22 ± 36.67 to 24.06 ± 21.93, p < 0.001]. However, clinical variables such as VAS hip and LBP, ODI, and HHS improved post-hip THA. Similar findings were seen in sub-group analysis when U/L affected were compared to B/L affected.

Conclusion

The sagittal SSPs except SVA does not change significantly following THA in patients with secondary OA, though LBP improves clinically. Hence, we assume routine measurement of these parameters is not mandatory when planning for THA in these patients.



中文翻译:

脊柱骨盆参数与继发性髋关节炎中的继发性髋脊柱综合征相关吗?

背景

对原发性骨关节炎(OA)髋关节进行全髋关节置换术(THA)时腰痛(LBP)的患病率进行了研究。然而,继发性髋关节骨关节炎会影响较年轻的个体,其中矢状脊柱参数(SSP)的变化可能是可逆的,以减少腰痛。该研究旨在记录全髋关节置换术后临床和放射学参数的变化。

方法

前瞻性分析中纳入了 30 名继发性髋关节 OA 患者,排除了之前因已知脊柱疾病(包括畸形、炎症或感染性病理)接受过脊柱/髋关节手术的患者。在基线和三个月时测量并分析髋关节和腰痛视觉模拟量表 (VAS)、Oswestry 残疾指数 (ODI) 和 Harris 核心 (HHS) 以及 SSP。

结果

 平均年龄为 42.8 ± 8.9 岁,其中 17 名单侧 (U/L) OA 和 13 名双侧 (B/L) OA。总体而言,除了矢状垂直轴有所改善外,包括骨盆倾角(PI)、骨盆倾斜(PT)、骶骨坡度(SS)、骨盆倾角-腰椎前凸(PI-LL)在内的SSP没有观察到显着变化(SVA) [40.22 ± 36.67 至 24.06 ± 21.93, p  < 0.001]。然而,髋关节 VAS 和 LBP、ODI 和 HHS 等临床变量在髋关节 THA 术后有所改善。当将受影响的 U/L 与受影响的 B/L 进行比较时,在亚组分析中也发现了类似的结果。

结论

尽管 LBP 在临床上有所改善,但继发性 OA 患者 THA 后除 SVA 外的矢状 SSP 没有显着变化。因此,我们假设在为这些患者计划进行全髋关节置换术时,不需要对这些参数进行常规测量。

更新日期:2022-09-10
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