Decrease in pelvic incidence after adult spinal deformity surgery is a predictive factor for progression of hip joint osteoarthritis.
Adult spinal deformity
Hip joint
Hip osteoarthritis
Pelvic incidence
Sagittal alignment
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
28 Jun 2024
28 Jun 2024
Historique:
received:
29
06
2023
accepted:
25
06
2024
medline:
29
6
2024
pubmed:
29
6
2024
entrez:
29
6
2024
Statut:
epublish
Résumé
This study aimed to evaluate the association between spinopelvic alignment parameters and hip osteoarthritis progression after spinal alignment correction surgery for adult spinal deformity, focusing on the preoperative to postoperative change in spinopelvic alignment. This retrospective study enrolled 100 adult spinal deformity patients (196 hip joints) who underwent spinal fusion surgery, after excluding four joints with previous total hip arthroplasty. Acetabular roof obliquity (ARO), center edge angle (CE) and Kellgren and Lawrence (KL) grade were measured in the hip joint. Spinopelvic alignment parameters were measured preoperatively and 1-month postoperatively and the changes (Δ) during this period were calculated. Patients were followed-up for ≥ 5 years and factors associated with KL grade progression at 5-years postoperatively were determined by logistic regression analysis. In the analysis with all cases, KL grade progressed in 23 joints. Logistic regression analysis revealed age (OR: 1.098, 95% CI: 1.007-1.198, p = 0.019), ARO (OR: 1.176, 95% CI: 1.01-1.37, p = 0.026), and Δ PI (OR: 0.791, 95% CI: 0.688-0.997, p < 0.001) as parameters significantly associated with KL grade progression. On the other hand, in the analysis limited to 185 cases with 1-month postoperative KL grade of 0, KL grade progressed in 13 joints. Logistic regression analysis revealed PI-LL (OR: 1.058, 95% CI: 1.001-1.117, p = 0.04), ΔPI (OR: 0.785, 95% CI: 0.649-0.951, p < 0.001), and ΔCobb (OR: 1.127, 95% CI: 1.012-1.253, p = 0.009) as parameters significantly associated with progression. Both the overall and limited analyzes of this study identified preoperative to postoperative change in PI as parameters affecting the hip osteoarthritis progression after spinal fusion surgery. Decrease in PI might represent preexisting sacroiliac joint laxity. Patients with this risk factor should be carefully followed for possible hip osteoarthritis progression.
Sections du résumé
BACKGROUND
BACKGROUND
This study aimed to evaluate the association between spinopelvic alignment parameters and hip osteoarthritis progression after spinal alignment correction surgery for adult spinal deformity, focusing on the preoperative to postoperative change in spinopelvic alignment.
METHODS
METHODS
This retrospective study enrolled 100 adult spinal deformity patients (196 hip joints) who underwent spinal fusion surgery, after excluding four joints with previous total hip arthroplasty. Acetabular roof obliquity (ARO), center edge angle (CE) and Kellgren and Lawrence (KL) grade were measured in the hip joint. Spinopelvic alignment parameters were measured preoperatively and 1-month postoperatively and the changes (Δ) during this period were calculated. Patients were followed-up for ≥ 5 years and factors associated with KL grade progression at 5-years postoperatively were determined by logistic regression analysis.
RESULTS
RESULTS
In the analysis with all cases, KL grade progressed in 23 joints. Logistic regression analysis revealed age (OR: 1.098, 95% CI: 1.007-1.198, p = 0.019), ARO (OR: 1.176, 95% CI: 1.01-1.37, p = 0.026), and Δ PI (OR: 0.791, 95% CI: 0.688-0.997, p < 0.001) as parameters significantly associated with KL grade progression. On the other hand, in the analysis limited to 185 cases with 1-month postoperative KL grade of 0, KL grade progressed in 13 joints. Logistic regression analysis revealed PI-LL (OR: 1.058, 95% CI: 1.001-1.117, p = 0.04), ΔPI (OR: 0.785, 95% CI: 0.649-0.951, p < 0.001), and ΔCobb (OR: 1.127, 95% CI: 1.012-1.253, p = 0.009) as parameters significantly associated with progression.
CONCLUSIONS
CONCLUSIONS
Both the overall and limited analyzes of this study identified preoperative to postoperative change in PI as parameters affecting the hip osteoarthritis progression after spinal fusion surgery. Decrease in PI might represent preexisting sacroiliac joint laxity. Patients with this risk factor should be carefully followed for possible hip osteoarthritis progression.
Identifiants
pubmed: 38943092
doi: 10.1186/s12891-024-07625-5
pii: 10.1186/s12891-024-07625-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
504Informations de copyright
© 2024. The Author(s).
Références
Park P, Garton HJ, Gala VC, et al. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine. 2004;29(17):1938–44.
doi: 10.1097/01.brs.0000137069.88904.03
pubmed: 15534420
Hashimoto K, Aizawa T, Kanno H, et al. Adjacent segment degeneration after fusion spinal surgery-a systematic review. Int Orthop. 2019;43(4):987–93.
doi: 10.1007/s00264-018-4241-z
pubmed: 30470865
Kozaki T, Hashizume H, Nishiyama D, et al. Adjacent segment disease on hip joint as a complication of spinal fusion surgery including sacroiliac joint fixation. Eur Spine J. 2021;30(5):1314–9.
doi: 10.1007/s00586-020-06700-4
pubmed: 33389138
Denis F, Sun EC, Winter RB. Incidence and risk factors for proximal and distal junctional kyphosis following surgical treatment for Scheuermann kyphosis: minimum five-year follow-up. Spine. 2009;34(20):E729–34.
doi: 10.1097/BRS.0b013e3181ae2ab2
pubmed: 19752692
Kozaki T, Hashizume H, Hiroyuki O, et al. Lumbar fusion including sacroiliac joint fixation increase the stress and angular motion at the hip joint: a finite element study. Spine Surg Relat Res. 2022;6(6):681–8.
doi: 10.22603/ssrr.2021-0231
pubmed: 36561150
pmcid: 9747219
Kawai T, Shimizu T, Goto K, et al. Number of levels of spinal fusion associated with the rate of joint-space narrowing in the hip. J Bone Joint Surg Am. 2021;103(11):953–60.
doi: 10.2106/JBJS.20.01578
pubmed: 33770019
Inami S, Moridaira H, Takeuchi D, et al. Optimum pelvic incidence minus lumbar lordosis value can be determined by individual pelvic incidence. Eur Spine J. 2016;25(11):3638–43.
doi: 10.1007/s00586-016-4563-8
pubmed: 27072550
Fukushima K, Miyagi M, Inoue G, et al. Relationship between spinal sagittal alignment and acetabular coverage: a patient-matched control study. Arch Orthop Trauma Surg. 2018;138(11):1495–9.
doi: 10.1007/s00402-018-2992-z
pubmed: 29971509
Jorge JP, Simoes FM, Pires EB, et al. Finite element simulations of a hip joint with femoroacetabular impingement. Comput Methods Biomech Biomed Eng Imaging Vis. 2014;17(11):1275–84.
doi: 10.1080/10255842.2012.744398
Riviere C, Hardijzer A, Lazennec JY, et al. Spine-hip relations add understandings to the pathophysiology of femoro-acetabular impingement: A systematic review. Orthop Traumatol Surg Res. 2017;103(4):549–57.
doi: 10.1016/j.otsr.2017.03.010
pubmed: 28373141
Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthritis. Ann Rheum Dis. 1957;16(4):494–502.
doi: 10.1136/ard.16.4.494
pubmed: 13498604
pmcid: 1006995
Si G, Li T, Liu X, et al. Correlation analysis between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion. Eur Spine J. 2020;29(12):2990–7.
doi: 10.1007/s00586-020-06316-8
pubmed: 32006111
Legaye J, Duval-Beaupère G, Hecquet J, et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J. 1998;7(2):99–103.
doi: 10.1007/s005860050038
pubmed: 9629932
pmcid: 3611230
Boulay C, Tardieu C, Hecquet J, et al. Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J. 2006;15(4):415–22.
doi: 10.1007/s00586-005-0984-5
pubmed: 16179995
Ohya J, Kawamura N, Takasawa E, et al. Pelvic incidence change on the operating table. Eur Spine J. 2021;30(9):2473–9.
doi: 10.1007/s00586-021-06753-z
pubmed: 34398336
Oba H, Ebata S, Takahashi J, et al. Changes in pelvic anatomy after long corrective fusion using iliac screws for adult spinal deformity. Eur Spine J. 2019;28(9):2103–11.
doi: 10.1007/s00586-019-06027-9
pubmed: 31227970
Wei C, Zuckerman S, Cerpa M, et al. Can pelvic incidence change after spinal deformity correction to the pelvis with S2-alar-iliac screw. Eur Spine J. 2021;30(9):2486–94.
doi: 10.1007/s00586-020-06658-3
pubmed: 33179128
Vleeming A, Schuenke MD, Masi AT, et al. The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat. 2021;221(6):537–67.
doi: 10.1111/j.1469-7580.2012.01564.x
Tseng C, Liu Z, Bao H, et al. Long fusion to the pelvis with S2-alar-iliac screws can induce changes in pelvic incidence in adult spinal deformity patients: analysis of predictive factors in a retrospective cohort. Eur Spine J. 2019;28(1):138–45.
doi: 10.1007/s00586-018-5738-2
pubmed: 30143895
Esposito CI, Miller TT, Kim HJ, et al. Dose degenerative lumbar spine disease influence femoroacetabular flexion in patients undergoing total hip arthroplasty? Clin Orthop Relat Res. 2016;474(8):1788–97.
doi: 10.1007/s11999-016-4787-2
pubmed: 27020429
pmcid: 4925410
Moon MS, Lee H, Kim ST, et al. Spinopelvic orientation on radiographs in various body postures: upright standing, chair sitting, Japanese style kneel sitting, and Korean style cross-legged sitting. Clin Orthop Surg. 2018;10(3):322–7.
doi: 10.4055/cios.2018.10.3.322
pubmed: 30174808
pmcid: 6107819
Endo K, Suzuki H, Nishimura H, et al. Sagittal lumbar and pelvic alignment in the standing and sitting positions. J Orthop Sci. 2012;17(6):682–6.
doi: 10.1007/s00776-012-0281-1
pubmed: 22915074
Suzuki H, Endo K, Sawaji Y, et al. Radiographic assessment of spinopelvic sagittal alignment from sitting to standing position. Spine Surg Relat Res. 2018;2(4):290–3.
doi: 10.22603/ssrr.2017-0074
pubmed: 31435536
pmcid: 6690107
Jacobsen S, Sonne-holm S, Soballe K, et al. Hip dysplasia and osteoarthrosis: a survey of 4151 subjects from the osteoarthrosis substudy of the Copenhagen City heart study. Acuta Orthop. 2005;76(2):149–58.
doi: 10.1080/00016470510030517
Rejiman M, Hazes JM, Pols HA, et al. Acetabular dysplasia predicts incident osteoarthritis of the hip: the Rotteerdam study. Arthritis Rheum. 2005;52(3):787–93.
doi: 10.1002/art.20886
Kozaki T, Hashizume H, Taniguchi T, et al. S2 alar-iliac screw loosening as a preventive factor for hip joint osteoarthritis after spinal deformity surgery: a case-control study. Eur Spine J. 2022;31(11):3081–8.
doi: 10.1007/s00586-022-07344-2
pubmed: 35999305
Lievense AM, Koes BW, Verhaar JA, et al. Prognosis of hip pain in general practice: a prospective follow-up study. Arthritis Rheum. 2007;57(8):1368–74.
doi: 10.1002/art.23094
pubmed: 18050175
Wright AA, Cook C, Abbott JH. Variables associated with the progressionof hip osteoarthritis: a systematic review. Arthritis Rheum. 2009;61(7):925–36.
doi: 10.1002/art.24641
pubmed: 19565541
Tang H, Guo S, Ma Z, et al. A patient-specific algorithm for predicting the standing sagittal pelvic tilt one year after total hip arthroplasty, a preliminary validation study. Bone Joint J. 2024;106-B(6):19–27.
doi: 10.1302/0301-620X.106B1.BJJ-2023-0640.R1
pubmed: 38160697
Inami S, Moridaira H, Takeuchi D, et al. Postoperative status of global sagittal alignment with compensation in adult spinal deformity. Spine. 2018;43(23):1631–7.
doi: 10.1097/BRS.0000000000002693
pubmed: 29664817
Reijiman M, Hazes JMW, Pols HAP, et al. Validity and reliability of three definition of hip osteoarthritis: cross section and longitudinal approach. Ann Rheum Dis. 2003;63(11):1427–33.
doi: 10.1136/ard.2003.016477
Hasan MY, Liu G, Wong HK, et al. Postoperative complications of S2AI versus iliac screw in spinopelvic fixation: a meta-analysis and recent trends review. Spine J. 2020;20(6):964–72.
doi: 10.1016/j.spinee.2019.11.014
pubmed: 31830594