Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation

Objective. To analyze the features of the sagittal spino-pelvic balance formation in patients with congenital hip dislocation and its changes after total hip replacement with restoration of the rotation center. Material and Methods. A retrospective analysis of medical documentation of 47 patients...

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Main Authors: Lev S. Shnaider, Vitaly V. Pavlov, Aleksandr V. Krutko, Vyacheslav A. Bazlov, Tariel Z. Mamuladze, Aleksey V. Peleganchuk
Format: Article
Language:English
Published: Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" 2018-12-01
Series:Хирургия позвоночника
Subjects:
Online Access:https://www.spinesurgery.ru/jour/article/view/1518/1498
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author Lev S. Shnaider
Vitaly V. Pavlov
Aleksandr V. Krutko
Vyacheslav A. Bazlov
Tariel Z. Mamuladze
Aleksey V. Peleganchuk
author_facet Lev S. Shnaider
Vitaly V. Pavlov
Aleksandr V. Krutko
Vyacheslav A. Bazlov
Tariel Z. Mamuladze
Aleksey V. Peleganchuk
author_sort Lev S. Shnaider
collection DOAJ
description Objective. To analyze the features of the sagittal spino-pelvic balance formation in patients with congenital hip dislocation and its changes after total hip replacement with restoration of the rotation center. Material and Methods. A retrospective analysis of medical documentation of 47 patients with congenital hip dislocation was performed, a total of 62 total hip replacements were performed. Patients were divided into two groups: Group I with unilateral congenital hip disloca- tion (n = 26) and Group II – with bilateral hip dislocation (n = 21). The processing and study of statistical correlation were carried out using the Spearman method at p ≤ 0.05. Results. Patients with congenital hip dislocation had average preoperative value of the global lumbar lordosis of 64.1°, and the excess value of the sacral slope angle of 46.4°, which led to hyperlordosis. After surgery, the average value of the global lumbar lordosis was 57.2°, the sacral slope – 41.5°. There was a close relationship between these parameters (r = 0.787). Conclusions. Restoration of the hip rotation center in patients with congenital hip dislocation contributes to a decrease in the sacrum incidence, pelvic anteversion, and lordosis.
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publisher Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
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spelling doaj.art-7b910f753fff49bf88924fbac658fdbe2023-09-02T17:39:56ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972018-12-011548086Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocationLev S. Shnaider0Vitaly V. Pavlov1Aleksandr V. Krutko2Vyacheslav A. Bazlov3Tariel Z. Mamuladze4Aleksey V. Peleganchuk5Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia Objective. To analyze the features of the sagittal spino-pelvic balance formation in patients with congenital hip dislocation and its changes after total hip replacement with restoration of the rotation center. Material and Methods. A retrospective analysis of medical documentation of 47 patients with congenital hip dislocation was performed, a total of 62 total hip replacements were performed. Patients were divided into two groups: Group I with unilateral congenital hip disloca- tion (n = 26) and Group II – with bilateral hip dislocation (n = 21). The processing and study of statistical correlation were carried out using the Spearman method at p ≤ 0.05. Results. Patients with congenital hip dislocation had average preoperative value of the global lumbar lordosis of 64.1°, and the excess value of the sacral slope angle of 46.4°, which led to hyperlordosis. After surgery, the average value of the global lumbar lordosis was 57.2°, the sacral slope – 41.5°. There was a close relationship between these parameters (r = 0.787). Conclusions. Restoration of the hip rotation center in patients with congenital hip dislocation contributes to a decrease in the sacrum incidence, pelvic anteversion, and lordosis.https://www.spinesurgery.ru/jour/article/view/1518/1498sagittal spino-pelvic balancehip displasiacrowe iv
spellingShingle Lev S. Shnaider
Vitaly V. Pavlov
Aleksandr V. Krutko
Vyacheslav A. Bazlov
Tariel Z. Mamuladze
Aleksey V. Peleganchuk
Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation
Хирургия позвоночника
sagittal spino-pelvic balance
hip displasia
crowe iv
title Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation
title_full Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation
title_fullStr Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation
title_full_unstemmed Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation
title_short Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation
title_sort changes in the spino pelvic balance after hip replacement in patients with congenital hip dislocation
topic sagittal spino-pelvic balance
hip displasia
crowe iv
url https://www.spinesurgery.ru/jour/article/view/1518/1498
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