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- Title
Spinopelvic imbalances are associated with worse postoperative functional outcomes in patients undergoing total hip arthroplasty.
- Authors
Zandi, Reza; Manafi-Rasi, Alireza; Talebi, Shahin; Ehsani, Akbar; Salarzadeh-Jenatabadi, Hashem
- Abstract
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.
- Subjects
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
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2023, Vol 33, Issue 8, p3603
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-023-03600-3