Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty
Abstract Objective To evaluate radiographic parameters of sagittal and spinopelvic alignment in patients with hip osteoarthritis (OA) undergoing primary total hip arthroplasty (THA) to define the primary surgical approach in individuals with concomitant spinal and hip joint disease. Methods Longitudinal, prospective, comparative study with 27 patients undergoing THA and 43 subjects without OA. Results An association between hip and spine degenerative disease in patients with OA was noted. After THA, radiographic parameters of pelvic tilt angle, sagittal vertical axis (EVS) and seventh cervical vertebra/sacrofemoral distance (C7/DSF) ratio were similar to values from volunteers without joint disease. Global coronal alignment (ACG), sagittal alignment, spinopelvic T1 and T9 tilts (IT1EP and IT9EP), sacral tilt (IS), pelvic version (VP), pelvic type and lumbopelvic complex (CLP) did not change after THA. Conclusion Among the sagittal and spinopelvic alignment parameters evaluated, the pelvic tilt angle, the EVS, and the C7/DSF ratio were corrected after THA and can guide the surgeon in the decision-making process for patients with concomitant spinal and hip joint disease. Spinal deformity may compensate for hip changes.
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Sociedade Brasileira de Ortopedia e Traumatologia
2020
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oai:scielo:S0102-361620200005005912020-11-27Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip ArthroplastySousa,Vanessa da CostaPerini,Jamila AlessandraAraújo Junior,Antônio Eulálio PedrosaGuimarães,João Antônio MatheusDuarte,Maria Eugenia LeiteFernandes,Marco Bernardo Cury sagittal alignment arthroplasty, replacement, hip osteoarthritis spinopelvic parameters Abstract Objective To evaluate radiographic parameters of sagittal and spinopelvic alignment in patients with hip osteoarthritis (OA) undergoing primary total hip arthroplasty (THA) to define the primary surgical approach in individuals with concomitant spinal and hip joint disease. Methods Longitudinal, prospective, comparative study with 27 patients undergoing THA and 43 subjects without OA. Results An association between hip and spine degenerative disease in patients with OA was noted. After THA, radiographic parameters of pelvic tilt angle, sagittal vertical axis (EVS) and seventh cervical vertebra/sacrofemoral distance (C7/DSF) ratio were similar to values from volunteers without joint disease. Global coronal alignment (ACG), sagittal alignment, spinopelvic T1 and T9 tilts (IT1EP and IT9EP), sacral tilt (IS), pelvic version (VP), pelvic type and lumbopelvic complex (CLP) did not change after THA. Conclusion Among the sagittal and spinopelvic alignment parameters evaluated, the pelvic tilt angle, the EVS, and the C7/DSF ratio were corrected after THA and can guide the surgeon in the decision-making process for patients with concomitant spinal and hip joint disease. Spinal deformity may compensate for hip changes.info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.55 n.5 20202020-10-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000500591en10.1055/s-0040-1701286 |
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Sousa,Vanessa da Costa Perini,Jamila Alessandra Araújo Junior,Antônio Eulálio Pedrosa Guimarães,João Antônio Matheus Duarte,Maria Eugenia Leite Fernandes,Marco Bernardo Cury |
| spellingShingle |
Sousa,Vanessa da Costa Perini,Jamila Alessandra Araújo Junior,Antônio Eulálio Pedrosa Guimarães,João Antônio Matheus Duarte,Maria Eugenia Leite Fernandes,Marco Bernardo Cury Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| author_facet |
Sousa,Vanessa da Costa Perini,Jamila Alessandra Araújo Junior,Antônio Eulálio Pedrosa Guimarães,João Antônio Matheus Duarte,Maria Eugenia Leite Fernandes,Marco Bernardo Cury |
| author_sort |
Sousa,Vanessa da Costa |
| title |
Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_short |
Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_full |
Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_fullStr |
Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_full_unstemmed |
Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_sort |
evaluation of the radiographic parameters of sagittal and spinopelvic alignment in patients with osteoarthritis submitted to total hip arthroplasty |
| description |
Abstract Objective To evaluate radiographic parameters of sagittal and spinopelvic alignment in patients with hip osteoarthritis (OA) undergoing primary total hip arthroplasty (THA) to define the primary surgical approach in individuals with concomitant spinal and hip joint disease. Methods Longitudinal, prospective, comparative study with 27 patients undergoing THA and 43 subjects without OA. Results An association between hip and spine degenerative disease in patients with OA was noted. After THA, radiographic parameters of pelvic tilt angle, sagittal vertical axis (EVS) and seventh cervical vertebra/sacrofemoral distance (C7/DSF) ratio were similar to values from volunteers without joint disease. Global coronal alignment (ACG), sagittal alignment, spinopelvic T1 and T9 tilts (IT1EP and IT9EP), sacral tilt (IS), pelvic version (VP), pelvic type and lumbopelvic complex (CLP) did not change after THA. Conclusion Among the sagittal and spinopelvic alignment parameters evaluated, the pelvic tilt angle, the EVS, and the C7/DSF ratio were corrected after THA and can guide the surgeon in the decision-making process for patients with concomitant spinal and hip joint disease. Spinal deformity may compensate for hip changes. |
| publisher |
Sociedade Brasileira de Ortopedia e Traumatologia |
| publishDate |
2020 |
| url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000500591 |
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