Spinopelvic Relationship and Its Impact on Total Hip Arthroplasty.

Dislocation Navigation systems Pelvic tilt Spinopelvic mobility Total hip arthroplasty

Journal

Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 09 05 2022
revised: 21 06 2022
accepted: 04 07 2022
entrez: 31 8 2022
pubmed: 1 9 2022
medline: 1 9 2022
Statut: epublish

Résumé

The dynamic, complex interaction among the spine, pelvis, and hip is often underappreciated, yet understanding it is vital for both arthroplasty and spinal surgeons. There is an increasing incidence of degenerative hip and spinal pathologies as a result of the ageing population. Furthermore, hip pathology can cause spine pathology and vice versa through "hip-spine" and "spine-hip syndrome." Consequently, total hip arthroplasty (THA) and spinal fusion surgery, which both affect spinopelvic mobility, are also on the rise. Alteration in spinopelvic motion can affect the orientation of the acetabulum and, therefore, implant positioning in THA, leading to complications such as dislocation, impingement, aseptic loosening, and wear of components. This makes it imperative to assess spinopelvic motion and pelvic tilt prior to patients undergoing THA. In this paper, we explore how the surgeon should proceed to reduce risk of component malalignment, as well as the role of navigation systems in acetabular cup positioning.

Identifiants

pubmed: 36042938
doi: 10.1016/j.artd.2022.07.001
pii: S2352-3441(22)00149-2
pmc: PMC9420424
doi:

Types de publication

Journal Article

Langues

eng

Pagination

87-93

Informations de copyright

© 2022 The Authors.

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Auteurs

Stefan Louette (S)

Trauma and Orthopaedics, Leeds Teaching Hospital Trust, Leeds, UK.

Alice Wignall (A)

Trauma and Orthopaedics, Leeds Teaching Hospital Trust, Leeds, UK.

Hemant Pandit (H)

Trauma and Orthopaedics, Leeds Teaching Hospital Trust, Leeds, UK.

Classifications MeSH