Can spinopelvic mobility be predicted in patients awaiting total hip arthroplasty? A prospective, diagnostic study of patients with end-stage hip osteoarthritis

The Bone & Joint Journal
M M InnmannG Grammatopoulos

Abstract

This study of patients with osteoarthritis (OA) of the hip aimed to: 1) characterize the contribution of the hip, spinopelvic complex, and lumbar spine when moving from the standing to the sitting position; 2) assess whether abnormal spinopelvic mobility is associated with worse symptoms; and 3) identify whether spinopelvic mobility can be predicted from static anatomical radiological parameters. A total of 122 patients with end-stage OA of the hip awaiting total hip arthroplasty (THA) were prospectively studied. Patient-reported outcome measures (PROMs; Oxford Hip Score, Oswestry Disability Index, and Veterans RAND 12-Item Health Survey Score) and clinical data were collected. Sagittal spinopelvic mobility was calculated as the change from the standing to sitting position using the lumbar lordosis angle (LL), sacral slope (SS), pelvic tilt (PT), pelvic-femoral angle (PFA), and acetabular anteinclination (AI) from lateral radiographs. The interaction of the different parameters was assessed. PROMs were compared between patients with normal spinopelvic mobility (10° ≤ ∆PT ≤ 30°) or abnormal spinopelvic mobility (stiff: ∆PT < ± 10°; hypermobile: ∆PT > ± 30°). Multiple regression and receiver operating characteristic (ROC) curve a...Continue Reading

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Citations

Sep 29, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Tetsuro TaniNobuhiko Sugano
Aug 31, 2020·The Bone & Joint Journal·Joost H J van ErpTom P C Schlösser
Aug 14, 2020·Journal of Clinical Medicine·Henryk HafferMatthias Pumberger
Jun 2, 2020·The Bone & Joint Journal·Fares S Haddad
Jan 16, 2021·The Journal of Arthroplasty·Jonathan M VigdorchikAndrew J Shimmin
Mar 23, 2021·Der Orthopäde·Christian MerleTobias Renkawitz
Apr 14, 2021·The Journal of Arthroplasty·Moritz M InnmannGeorge Grammatopoulos
Jun 3, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Nathanael D Heckmann, Jay R Lieberman
Jun 9, 2021·Archives of Orthopaedic and Trauma Surgery·Joost H J van ErpArthur de Gast
Jun 4, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Moritz M InnmannGeorge Grammatopoulos
Aug 4, 2021·Revista española de cirugía ortopédica y traumatología·B García-MayaE García Rey
Oct 7, 2021·The Journal of Bone and Joint Surgery. American Volume·Joseph C ChavarriaPhilip J York
Nov 13, 2021·The Journal of Bone and Joint Surgery. American Volume·George GrammatopoulosChristian Merle

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