Spinopelvic imbalances are associated with worse postoperative functional outcomes in patients undergoing total hip arthroplasty.

Autor:	Zandi, Reza, Manafi-Rasi, Alireza, Talebi, Shahin, Ehsani, Akbar, Salarzadeh-Jenatabadi, Hashem
Předmět:	SPINE physiology PELVIC physiology TOTAL hip replacement RANGE of motion of joints FUNCTIONAL status STANDING position SURGICAL complications HEALTH surveys SITTING position DESCRIPTIVE statistics DISEASE risk factors
Zdroj:	European Journal of Orthopaedic Surgery & Traumatology; Dec2023, Vol. 33 Issue 8, p3603-3609, 7p
Abstrakt:	Purpose: We aimed to investigate the relationship between spinopelvic imbalances and functional disabilities after total hip arthroplasty in an at least two years of follow-up. Methods: Patients with normal sagittal alignment and normal motion (PI-LL < 10°, APP < 13°, ∆SS > 10°) were defined as control, and patients with any of sagittal alignment or motion abnormalities were defined as case groups. Visual Analog Scale, SF-36, Harris hip score, HOOS-JR, and complications were recorded. Results: The differences of the means of Harris hip score, HOOS-JR, SF-36, and VAS score in the control and case groups were statistically significant. The mean of these parameters in patients with sagittal balanced (PI-LL < 10°) was much better than patients with sagittal unbalanced (PI-LL > 10°). Same results were noted in patients with decreased (∆SS < 10°) and normal spinopelvic motions (∆SS > 10°). Conclusion: Our observations indicate that spinopelvic imbalances are associated with worse postoperative functional outcomes in patients undergoing total hip arthroplasty. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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