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髋骨关节炎患者及有全髋关节置换指征患者的脊柱骨盆活动度

SPINOPELVIC MOBILITY IN PATIENTS WITH HIP OSTEOARTHRITIS AND TOTAL HIP ARTHROPLASTY INDICATION.

作者信息

Garcia Flavio Luis, Pajanoti Guilherme Pianowski, Defino Helton Luiz Aparecido

机构信息

Universidade de São Paulo, School of Medicine of Ribeirão Preto, Department of Orthopedics and Anesthesiology, Ribeirão Preto, SP, Brazil.

Santa Casa de São Paulo, School of Medical Sciences, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2022 Aug 26;30(4):e249351. doi: 10.1590/1413-785220223004e249351. eCollection 2022.

DOI:10.1590/1413-785220223004e249351
PMID:36092173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9426008/
Abstract

INTRODUCTION

Reduction of spinopelvic mobility is associated with an increased dislocation of total hip arthroplasty (THA).

OBJECTIVE

To assess 1) spinopelvic mobility in patients with primary hip osteoarthritis and THA indication and 2) the influence of hip flexion contracture on spinopelvic mobility.

METHODS

Thirty adult patients with primary hip osteoarthritis and THA indication were evaluated using radiographic parameters (pelvic incidence, pelvic tilt, sacral slope, lumbar flexibility, and spinopelvic mobility).

RESULTS

Spinopelvic mobility ranged from 6.90 a 54.50° (mean 32.79 ± 11.42) and the group of patients with hip flexion contracture had higher mobility. Spinopelvic mobility was correlated with pelvic tilt as well as with lumbar flexibility.

CONCLUSION

Around 13.4% of patients had spinopelvic mobility under 20° , indicating reduced spinopelvic mobility and risk of THA dislocation.

摘要

引言

脊柱骨盆活动度降低与全髋关节置换术（THA）脱位增加有关。

目的

评估1）原发性髋骨关节炎且有THA指征患者的脊柱骨盆活动度，以及2）髋关节屈曲挛缩对脊柱骨盆活动度的影响。

方法

使用影像学参数（骨盆入射角、骨盆倾斜度、骶骨倾斜度、腰椎灵活性和脊柱骨盆活动度）对30例有原发性髋骨关节炎且有THA指征的成年患者进行评估。

结果

脊柱骨盆活动度范围为6.90至54.50°（平均32.79±11.42），髋关节屈曲挛缩组患者的活动度更高。脊柱骨盆活动度与骨盆倾斜度以及腰椎灵活性相关。

结论

约13.4%的患者脊柱骨盆活动度低于20°，表明脊柱骨盆活动度降低及THA脱位风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/3126204945ef/1809-4406-aob-30-04-e249351-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/44f760005a3b/1809-4406-aob-30-04-e249351-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/8d4974a11b1b/1809-4406-aob-30-04-e249351-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/4d938d608018/1809-4406-aob-30-04-e249351-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/050eef12bc1f/1809-4406-aob-30-04-e249351-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/29e9d550dc7b/1809-4406-aob-30-04-e249351-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/ce7bc5fd4f83/1809-4406-aob-30-04-e249351-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/3fdaef878469/1809-4406-aob-30-04-e249351-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/3126204945ef/1809-4406-aob-30-04-e249351-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/44f760005a3b/1809-4406-aob-30-04-e249351-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/8d4974a11b1b/1809-4406-aob-30-04-e249351-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/4d938d608018/1809-4406-aob-30-04-e249351-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/050eef12bc1f/1809-4406-aob-30-04-e249351-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/29e9d550dc7b/1809-4406-aob-30-04-e249351-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/ce7bc5fd4f83/1809-4406-aob-30-04-e249351-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/3fdaef878469/1809-4406-aob-30-04-e249351-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/9426008/3126204945ef/1809-4406-aob-30-04-e249351-gf8.jpg

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本文引用的文献

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Rev Bras Ortop (Sao Paulo). 2020 Oct;55(5):591-596. doi: 10.1055/s-0040-1701286. Epub 2020 Mar 16.
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Pathologic spinopelvic balance in patients with hip osteoarthritis : Preoperative screening and therapeutic implications.髋骨关节炎患者的病理性脊柱骨盆平衡：术前筛查及治疗意义
Orthopade. 2020 Oct;49(10):860-869. doi: 10.1007/s00132-020-03981-x.
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Functional Anatomy of the Hip Joint.
髋关节的功能解剖。
J Arthroplasty. 2021 Jan;36(1):374-378. doi: 10.1016/j.arth.2020.07.065. Epub 2020 Jul 31.
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The Impact of Spinopelvic Mobility on Arthroplasty: Implications for Hip and Spine Surgeons.脊柱骨盆活动度对关节置换术的影响：对髋关节和脊柱外科医生的启示
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Spinopelvic Compensatory Mechanisms for Reduced Hip Motion (ROM) in the Setting of Hip Osteoarthritis.髋关节骨关节炎背景下髋关节活动度（ROM）降低的脊柱骨盆代偿机制。
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2018 Frank Stinchfield Award: Spinopelvic Hypermobility Is Associated With an Inferior Outcome After THA: Examining the Effect of Spinal Arthrodesis.2018 年 Frank Stinchfield 奖：THA 术后脊柱融合术对全髋关节置换术后骨盆脊柱过度活动的预后较差：探讨脊柱融合术的影响。
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