Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patients
Abstract This study is designed to compare the extent of sacroiliac joint (SIJ) degeneration at total hip arthroplasty (THA) for two pathologies: osteoarthritis of the hip (OA) and osteonecrosis of the femoral head (ON). We also assessed the prevalence of SIJ degeneration in patients with lumbar spo...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-02-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-54472-4 |
| _version_ | 1827327964906258432 |
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| author | Ayumi Kaneuji Makoto Fukui Eiji Takahashi Yusuke Sanji Hiroaki Hirata Norio Kawahara |
| author_facet | Ayumi Kaneuji Makoto Fukui Eiji Takahashi Yusuke Sanji Hiroaki Hirata Norio Kawahara |
| author_sort | Ayumi Kaneuji |
| collection | DOAJ |
| description | Abstract This study is designed to compare the extent of sacroiliac joint (SIJ) degeneration at total hip arthroplasty (THA) for two pathologies: osteoarthritis of the hip (OA) and osteonecrosis of the femoral head (ON). We also assessed the prevalence of SIJ degeneration in patients with lumbar spondylolisthesis or degenerative scoliosis. A total of 138 hips from 138 patients (69 OA and 69 ON) were assessed in this study, including 66 hips affected by OA secondary to developmental dysplasia of the hip. The degenerative changes in the SIJ and lumbar spine were evaluated prior to THA using radiographs and computed tomography (CT) scans, showing 9 instances of spondylolisthesis and 38 of degenerative scoliosis. The OA group exhibited longer duration from onset to surgery than the ON group. The OA group also included more cases with significant pelvic obliquity (3 degrees or more) and with significant increases in SIJ sclerosis and irregularities. Patients with lumbar spondylolisthesis or degenerative scoliosis were significantly more likely to have SIJ irregularities. The prevalence of SIJ degeneration was higher in cases of THA for OA than for ON. This study also suggests the possibility of Hip-SIJ-Spine syndrome in THA patients with OA. |
| first_indexed | 2024-03-07T15:11:03Z |
| format | Article |
| id | doaj.art-5ff00971830c4d0f9c7920720072c855 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:11:03Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-5ff00971830c4d0f9c7920720072c8552024-03-05T18:39:09ZengNature PortfolioScientific Reports2045-23222024-02-011411810.1038/s41598-024-54472-4Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patientsAyumi Kaneuji0Makoto Fukui1Eiji Takahashi2Yusuke Sanji3Hiroaki Hirata4Norio Kawahara5Department of Orthopaedic Surgery, Kanazawa Medical UniversityDepartment of Orthopaedic Surgery, Kanazawa Medical UniversityDepartment of Orthopaedic Surgery, Kanazawa Medical UniversityDepartment of Orthopaedic Surgery, Kanazawa Medical UniversityDepartment of Orthopaedic Surgery, Kanazawa Medical UniversityDepartment of Orthopaedic Surgery, Kanazawa Medical UniversityAbstract This study is designed to compare the extent of sacroiliac joint (SIJ) degeneration at total hip arthroplasty (THA) for two pathologies: osteoarthritis of the hip (OA) and osteonecrosis of the femoral head (ON). We also assessed the prevalence of SIJ degeneration in patients with lumbar spondylolisthesis or degenerative scoliosis. A total of 138 hips from 138 patients (69 OA and 69 ON) were assessed in this study, including 66 hips affected by OA secondary to developmental dysplasia of the hip. The degenerative changes in the SIJ and lumbar spine were evaluated prior to THA using radiographs and computed tomography (CT) scans, showing 9 instances of spondylolisthesis and 38 of degenerative scoliosis. The OA group exhibited longer duration from onset to surgery than the ON group. The OA group also included more cases with significant pelvic obliquity (3 degrees or more) and with significant increases in SIJ sclerosis and irregularities. Patients with lumbar spondylolisthesis or degenerative scoliosis were significantly more likely to have SIJ irregularities. The prevalence of SIJ degeneration was higher in cases of THA for OA than for ON. This study also suggests the possibility of Hip-SIJ-Spine syndrome in THA patients with OA.https://doi.org/10.1038/s41598-024-54472-4 |
| spellingShingle | Ayumi Kaneuji Makoto Fukui Eiji Takahashi Yusuke Sanji Hiroaki Hirata Norio Kawahara Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patients Scientific Reports |
| title | Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patients |
| title_full | Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patients |
| title_fullStr | Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patients |
| title_full_unstemmed | Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patients |
| title_short | Hip-sacroiliac joint-spine syndrome in total hip arthroplasty patients |
| title_sort | hip sacroiliac joint spine syndrome in total hip arthroplasty patients |
| url | https://doi.org/10.1038/s41598-024-54472-4 |
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