骨科科学面临的一项挑战：脊柱疾病与畸形对全髋关节置换术的影响：文献综述
A challenge on Orthopedic Sciences: The Influence of Spinal Disease and Deformities on Total Hip Arthroplasty: A Review on Literature.
作者信息
Yeganeh Ali, Moghtadaei Mehdi, Motalebi Mohsen
机构信息
Research performed at Rasool-e-akram Hospital, Tehran, Iran.
Department of Orthopedics, Rasool-e-akram Hospital, Iran University of Medical Science, Tehran, Iran.
出版信息
Arch Bone Jt Surg. 2018 Sep;6(5):346-352.
BACKGROUND
Adult degenerative disorders of hip and spine are common. The recent studies inconsistently have discussed about the influence of spinal disorders on total hip arthroplasty (THA). In this review, we discussed clearly about these relationships and their effects on the most appropriate position of the acetabular component.
METHODS
We searched on databases and evaluated the articles about spinopelvic parameters in patients with spinal disorders who needed THA.
RESULTS
The literature search showed a prevalence of 21.2 % to 60.4% of low back pain (LBP) in patients, who are candidates for primary THA. The coexistence of degenerative disease of hip and spine or other diseases can significantly alter spinopelvic alignment. Accordingly, pain management or any other treatment in these patients requires proper understanding about the biomechanics of the hip and the spinal and their corresponding interactions. In this review article, we discussed about these interactions and their effects on the most appropriate position of the acetabular component.
CONCLUSION
We concluded that counseling sessions among patients, orthopedic surgeons and spine surgeons can result in obtaining the best outcome for these individuals.
背景
成人髋部和脊柱的退行性疾病很常见。最近的研究对脊柱疾病对全髋关节置换术（THA）的影响讨论不一。在本综述中，我们明确讨论了这些关系及其对髋臼组件最合适位置的影响。
方法
我们在数据库中进行搜索，并评估了关于需要进行THA的脊柱疾病患者的脊柱骨盆参数的文章。
结果
文献检索显示，在初次THA候选患者中，腰痛（LBP）的患病率为21.2%至60.4%。髋部和脊柱的退行性疾病或其他疾病并存可显著改变脊柱骨盆对线。因此，这些患者的疼痛管理或任何其他治疗需要对髋部和脊柱的生物力学及其相应的相互作用有正确的理解。在这篇综述文章中，我们讨论了这些相互作用及其对髋臼组件最合适位置的影响。
结论
我们得出结论，患者、骨科医生和脊柱外科医生之间的咨询会议可以为这些个体带来最佳结果。
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