Department of Trauma and Orthopaedic Surgery, University College London Hospitals NHS Foundation Trust, London, UK.
Division of Surgery & Interventional Science, University College London, London, UK.
Bone Joint J. 2024 Nov 1;106-B(11):1206-1215. doi: 10.1302/0301-620X.106B11.BJJ-2024-0373.
Understanding spinopelvic mechanics is important for the success of total hip arthroplasty (THA). Despite significant advancements in appreciating spinopelvic balance, numerous challenges remain. It is crucial to recognize the individual variability and postoperative changes in spinopelvic parameters and their consequential impact on prosthetic component positioning to mitigate the risk of dislocation and enhance postoperative outcomes. This review describes the integration of advanced diagnostic approaches, enhanced technology, implant considerations, and surgical planning, all tailored to the unique anatomy and biomechanics of each patient. It underscores the importance of accurately predicting postoperative spinopelvic mechanics, selecting suitable imaging techniques, establishing a consistent nomenclature for spinopelvic stiffness, and considering implant-specific strategies. Furthermore, it highlights the potential of artificial intelligence to personalize care.
了解脊柱骨盆力学对于全髋关节置换术（THA）的成功至关重要。尽管在理解脊柱骨盆平衡方面取得了重大进展，但仍存在许多挑战。认识到脊柱骨盆参数的个体差异和术后变化及其对假体组件定位的影响，以降低脱位风险并改善术后结果至关重要。本综述描述了先进诊断方法、增强技术、植入物考虑因素和手术计划的整合，所有这些都是根据每个患者的独特解剖结构和生物力学量身定制的。它强调了准确预测术后脊柱骨盆力学、选择合适的成像技术、建立脊柱骨盆刚度一致的命名法以及考虑特定植入物策略的重要性。此外，它还强调了人工智能在个性化护理中的潜力。
