Correlation between Acetabular Anteversion with a False-Profile View and Spinopelvic Parameters in Adult Spinal Deformity after Long-Segment Corrective Spinal Surgery

Autor: Ichiro Kawamura, Hiroyuki Tominaga, Hiroto Tokumoto, Masato Sanada, Takuma Ogura, Tomoki Kuroshima, Junichi Kamizono, Noboru Taniguchi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Spine Surgery and Related Research, Vol 8, Iss 3, Pp 330-337 (2024)
Druh dokumentu: article
ISSN: 2432-261X
2023-0273
DOI: 10.22603/ssrr.2023-0273
Popis: Introduction: Studies describing the relationship between the hip and spine have reported that corrective spinal surgery for adult spinal deformity (ASD) affects the orientation of the acetabulum. However, the extent to which spinal correction in ASD affects acetabular anteversion in the standing position is unclear, especially after total hip arthroplasty, for which dislocation is a concern. The purpose of this study was to evaluate changes in anterior acetabular coverage in the upright position due to extensive correction surgery for ASD. Methods: Thirty-six consecutive patients who had undergone spinal corrective surgery from the thoracolumbar region to the pelvis were enrolled and evaluated. The ventral-central-acetabular (VCA) angle and anterior acetabular head index (AAHI) were measured with a false-profile view to evaluate the relationship between acetabular anteversion in the standing position and spinopelvic parameters before and after surgery. The spinopelvic parameters measured included thoracic kyphosis, pelvic incidence, pelvic tilt (PT), sacral slope, lumbar lordosis (LL), sagittal vertical axis, and global tilt. Results: The VCA angle and AAHI were significantly increased after spinal deformity correction (p
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