Department of Orthopaedic Surgery, Peking University Third Hospital, 49 Huayuan North Road, Haidian District, Beijing, People's Republic of China.
Eur Spine J. 2020 Dec;29(12):2990-2997. doi: 10.1007/s00586-020-06316-8. Epub 2020 Jan 31.
To explore the correlations between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion.
We retrospectively identified adult scoliosis patients who underwent long-segment spinal fusions between December 2009 and August 2015. The patients were divided into a pain group (PG) and a control group (CG) based on whether hip pain was reported at the end of follow-up. There were 34 cases in the PG and 42 in the CG. The visual analogue scale was employed to assess the postoperative hip pain in PG patients. Two sets of parameters were recorded: one before and one after the surgery.
There were statistically significant differences in the variations in acetabular coverage and centre-edge (CE) angle between the two groups (p < 0.05), but there was no significant difference in the Tönnis angle, acetabular angle of Sharp, neck-shaft angle, lumbar lordosis (LL), sacral slope, pelvic incidence, pelvic tilt, coronal vertical axis, sagittal vertical axis or Cobb angle. The variation in acetabular coverage before and after operation in the PG was significantly correlated with that of LL (p < 0.05), while the changes in the CE angle and Tönnis angle were not significantly correlated with those in spino-pelvic parameters (p > 0.05).
Postoperative hip pain among adult scoliosis patients after long-segment spinal fusion is significantly associated with the variation in acetabular coverage and CE angle, and the change in acetabular coverage is correlated with that in LL for those who develop hip pain after the surgery. These slides can be retrieved under Electronic Supplementary Material.
探讨长节段脊柱融合术后成人脊柱侧凸患者术后髋关节疼痛与脊柱骨盆/髋关节参数之间的相关性。
我们回顾性地确定了 2009 年 12 月至 2015 年 8 月期间接受长节段脊柱融合术的成人脊柱侧凸患者。根据术后随访结束时是否报告髋关节疼痛，将患者分为疼痛组（PG）和对照组（CG）。PG 组有 34 例，CG 组有 42 例。使用视觉模拟评分法评估 PG 患者的术后髋关节疼痛。记录两组术前和术后两组参数：一组为髋臼覆盖度和中心边缘（CE）角。
两组间髋臼覆盖度和 CE 角的变化有统计学差异（p < 0.05），但 Tönnis 角、髋臼 Sharp 角、颈干角、腰椎前凸（LL）、骶骨倾斜度、骨盆入射角、骨盆倾斜度、冠状垂直轴、矢状垂直轴或 Cobb 角无统计学差异。PG 组髋臼覆盖度术前与术后的变化与 LL 的变化显著相关（p < 0.05），而 CE 角和 Tönnis 角的变化与脊柱骨盆参数的变化无显著相关性（p > 0.05）。
长节段脊柱融合术后成人脊柱侧凸患者髋关节疼痛与髋臼覆盖度和 CE 角的变化显著相关，术后出现髋关节疼痛的患者髋臼覆盖度的变化与 LL 的变化相关。这些幻灯片可以在电子补充材料中检索到。
