Lumbosacral fusion increases the risk of hip osteoarthritis
Abstract Objective There may be biomechanical changes in the adjacent hip joint after lumbosacral fusion. The literature has limited information on how these biomechanical changes may result in hip joint space. Material method Our retrospective study examined hip joint space narrowing in patients wh...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03932-0 |
| _version_ | 1797795573530624000 |
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| author | İbrahim Ulusoy Aybars Kıvrak |
| author_facet | İbrahim Ulusoy Aybars Kıvrak |
| author_sort | İbrahim Ulusoy |
| collection | DOAJ |
| description | Abstract Objective There may be biomechanical changes in the adjacent hip joint after lumbosacral fusion. The literature has limited information on how these biomechanical changes may result in hip joint space. Material method Our retrospective study examined hip joint space narrowing in patients who underwent lumbosacral fusion between 2020 and 2022. In addition, spinopelvic parameters such as sacral slope, the sagittal vertical axis, pelvic incidence, lumbar lordosis, and pelvic tilt were compared in patients who underwent short-segment (up to three levels, S group) and long-segment (4 and higher levels, L group) fusions. Results Our study found no significant relationship between spinopelvic parameters and joint space narrowing in the S and L groups. In addition, it was determined that there was more narrowing in the hip joint space in the long-segment group, and there was a positive correlation between the segment length and the narrowing in the hip joint space. Conclusion After lumbosacral fusion, narrowing of the hip joint space was observed. Particularly patients with long-segment lumbosacral fusion should be followed closely regarding hip osteoarthritis risk. |
| first_indexed | 2024-03-13T03:20:00Z |
| format | Article |
| id | doaj.art-4852fad51cbd434595d62fdf8d0b2a81 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-13T03:20:00Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-4852fad51cbd434595d62fdf8d0b2a812023-06-25T11:22:56ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-06-011811510.1186/s13018-023-03932-0Lumbosacral fusion increases the risk of hip osteoarthritisİbrahim Ulusoy0Aybars Kıvrak1Department of Orthopedics and Traumatology, Diyarbakır Selahaddin Eyyubi State HospitalDepartment of Orthopedics and Traumatology, Avrupa HospitalAbstract Objective There may be biomechanical changes in the adjacent hip joint after lumbosacral fusion. The literature has limited information on how these biomechanical changes may result in hip joint space. Material method Our retrospective study examined hip joint space narrowing in patients who underwent lumbosacral fusion between 2020 and 2022. In addition, spinopelvic parameters such as sacral slope, the sagittal vertical axis, pelvic incidence, lumbar lordosis, and pelvic tilt were compared in patients who underwent short-segment (up to three levels, S group) and long-segment (4 and higher levels, L group) fusions. Results Our study found no significant relationship between spinopelvic parameters and joint space narrowing in the S and L groups. In addition, it was determined that there was more narrowing in the hip joint space in the long-segment group, and there was a positive correlation between the segment length and the narrowing in the hip joint space. Conclusion After lumbosacral fusion, narrowing of the hip joint space was observed. Particularly patients with long-segment lumbosacral fusion should be followed closely regarding hip osteoarthritis risk.https://doi.org/10.1186/s13018-023-03932-0Lumbosacral fusionHip jointAdjacent segmentSpinopelvicJoint space narrowing |
| spellingShingle | İbrahim Ulusoy Aybars Kıvrak Lumbosacral fusion increases the risk of hip osteoarthritis Journal of Orthopaedic Surgery and Research Lumbosacral fusion Hip joint Adjacent segment Spinopelvic Joint space narrowing |
| title | Lumbosacral fusion increases the risk of hip osteoarthritis |
| title_full | Lumbosacral fusion increases the risk of hip osteoarthritis |
| title_fullStr | Lumbosacral fusion increases the risk of hip osteoarthritis |
| title_full_unstemmed | Lumbosacral fusion increases the risk of hip osteoarthritis |
| title_short | Lumbosacral fusion increases the risk of hip osteoarthritis |
| title_sort | lumbosacral fusion increases the risk of hip osteoarthritis |
| topic | Lumbosacral fusion Hip joint Adjacent segment Spinopelvic Joint space narrowing |
| url | https://doi.org/10.1186/s13018-023-03932-0 |
| work_keys_str_mv | AT ibrahimulusoy lumbosacralfusionincreasestheriskofhiposteoarthritis AT aybarskıvrak lumbosacralfusionincreasestheriskofhiposteoarthritis |