Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty
Abstract Objective To evaluate radiographic parameters of sagittal and spinopelvic alignment in patients with hip osteoarthritis (OA) undergoing primary total hip arthroplasty (THA) to define the primary surgical approach in individuals with concomitant spinal and hip joint disease. Methods Longit...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
|
| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/rbort/v55n5/1982-4378-rbort-55-05-0591.pdf |
| _version_ | 1827295058664095744 |
|---|---|
| author | Vanessa da Costa Sousa Jamila Alessandra Perini Antônio Eulálio Pedrosa Araújo Junior João Antônio Matheus Guimarães Maria Eugenia Leite Duarte Marco Bernardo Cury Fernandes |
| author_facet | Vanessa da Costa Sousa Jamila Alessandra Perini Antônio Eulálio Pedrosa Araújo Junior João Antônio Matheus Guimarães Maria Eugenia Leite Duarte Marco Bernardo Cury Fernandes |
| author_sort | Vanessa da Costa Sousa |
| collection | DOAJ |
| description | Abstract Objective To evaluate radiographic parameters of sagittal and spinopelvic alignment in patients with hip osteoarthritis (OA) undergoing primary total hip arthroplasty (THA) to define the primary surgical approach in individuals with concomitant spinal and hip joint disease. Methods Longitudinal, prospective, comparative study with 27 patients undergoing THA and 43 subjects without OA. Results An association between hip and spine degenerative disease in patients with OA was noted. After THA, radiographic parameters of pelvic tilt angle, sagittal vertical axis (EVS) and seventh cervical vertebra/sacrofemoral distance (C7/DSF) ratio were similar to values from volunteers without joint disease. Global coronal alignment (ACG), sagittal alignment, spinopelvic T1 and T9 tilts (IT1EP and IT9EP), sacral tilt (IS), pelvic version (VP), pelvic type and lumbopelvic complex (CLP) did not change after THA. Conclusion Among the sagittal and spinopelvic alignment parameters evaluated, the pelvic tilt angle, the EVS, and the C7/DSF ratio were corrected after THA and can guide the surgeon in the decision-making process for patients with concomitant spinal and hip joint disease. Spinal deformity may compensate for hip changes. |
| first_indexed | 2024-03-08T07:57:08Z |
| format | Article |
| id | doaj.art-d3e2c75b92964c16a70b2b673cc6faaf |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:14:21Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-d3e2c75b92964c16a70b2b673cc6faaf2024-04-03T08:57:21ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-437810.1055/s-0040-1701286Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip ArthroplastyVanessa da Costa SousaJamila Alessandra PeriniAntônio Eulálio Pedrosa Araújo JuniorJoão Antônio Matheus GuimarãesMaria Eugenia Leite DuarteMarco Bernardo Cury FernandesAbstract Objective To evaluate radiographic parameters of sagittal and spinopelvic alignment in patients with hip osteoarthritis (OA) undergoing primary total hip arthroplasty (THA) to define the primary surgical approach in individuals with concomitant spinal and hip joint disease. Methods Longitudinal, prospective, comparative study with 27 patients undergoing THA and 43 subjects without OA. Results An association between hip and spine degenerative disease in patients with OA was noted. After THA, radiographic parameters of pelvic tilt angle, sagittal vertical axis (EVS) and seventh cervical vertebra/sacrofemoral distance (C7/DSF) ratio were similar to values from volunteers without joint disease. Global coronal alignment (ACG), sagittal alignment, spinopelvic T1 and T9 tilts (IT1EP and IT9EP), sacral tilt (IS), pelvic version (VP), pelvic type and lumbopelvic complex (CLP) did not change after THA. Conclusion Among the sagittal and spinopelvic alignment parameters evaluated, the pelvic tilt angle, the EVS, and the C7/DSF ratio were corrected after THA and can guide the surgeon in the decision-making process for patients with concomitant spinal and hip joint disease. Spinal deformity may compensate for hip changes.http://www.scielo.br/pdf/rbort/v55n5/1982-4378-rbort-55-05-0591.pdfsagittal alignmentarthroplasty, replacement, hiposteoarthritisspinopelvic parameters |
| spellingShingle | Vanessa da Costa Sousa Jamila Alessandra Perini Antônio Eulálio Pedrosa Araújo Junior João Antônio Matheus Guimarães Maria Eugenia Leite Duarte Marco Bernardo Cury Fernandes Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty Revista Brasileira de Ortopedia sagittal alignment arthroplasty, replacement, hip osteoarthritis spinopelvic parameters |
| title | Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_full | Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_fullStr | Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_full_unstemmed | Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_short | Evaluation of the Radiographic Parameters of Sagittal and Spinopelvic Alignment in Patients with Osteoarthritis submitted to Total Hip Arthroplasty |
| title_sort | evaluation of the radiographic parameters of sagittal and spinopelvic alignment in patients with osteoarthritis submitted to total hip arthroplasty |
| topic | sagittal alignment arthroplasty, replacement, hip osteoarthritis spinopelvic parameters |
| url | http://www.scielo.br/pdf/rbort/v55n5/1982-4378-rbort-55-05-0591.pdf |
| work_keys_str_mv | AT vanessadacostasousa evaluationoftheradiographicparametersofsagittalandspinopelvicalignmentinpatientswithosteoarthritissubmittedtototalhiparthroplasty AT jamilaalessandraperini evaluationoftheradiographicparametersofsagittalandspinopelvicalignmentinpatientswithosteoarthritissubmittedtototalhiparthroplasty AT antonioeulaliopedrosaaraujojunior evaluationoftheradiographicparametersofsagittalandspinopelvicalignmentinpatientswithosteoarthritissubmittedtototalhiparthroplasty AT joaoantoniomatheusguimaraes evaluationoftheradiographicparametersofsagittalandspinopelvicalignmentinpatientswithosteoarthritissubmittedtototalhiparthroplasty AT mariaeugenialeiteduarte evaluationoftheradiographicparametersofsagittalandspinopelvicalignmentinpatientswithosteoarthritissubmittedtototalhiparthroplasty AT marcobernardocuryfernandes evaluationoftheradiographicparametersofsagittalandspinopelvicalignmentinpatientswithosteoarthritissubmittedtototalhiparthroplasty |