Spine–hip relations in patients with hip osteoarthritis

Patients with hip osteoarthritis often have an abnormal spine-hip relation (SHR), meaning the presence of a clinically deleterious spine-hip and/or hip-spine syndrome. Definition of the individual SHR is ideally done using the EOS® imaging system or, if not available, with conventional lumbopelvic l...

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Detalles Bibliográficos
Autores principales: Rivière, Charles, Lazic, Stefan, Dagneaux, Louis, Van Der Straeten, Catherine, Cobb, Justin, Muirhead-Allwood, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2018
Materias:
Spine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890167/
https://www.ncbi.nlm.nih.gov/pubmed/29657844
http://dx.doi.org/10.1302/2058-5241.3.170020
Descripción
Sumario:Patients with hip osteoarthritis often have an abnormal spine-hip relation (SHR), meaning the presence of a clinically deleterious spine-hip and/or hip-spine syndrome. Definition of the individual SHR is ideally done using the EOS® imaging system or, if not available, with conventional lumbopelvic lateral radiographs. By pre-operatively screening patients with abnormal SHR, it is possible to refine total hip replacement (THR) surgical planning, which may improve outcomes. An important component of the concept of kinematically aligned total hip arthroplasty (KA THA) consists of defining the optimal acetabular cup design and orientation based on the assessment of an individual’s SHR, and use of the transverse acetabular ligament to adjust the cup positioning. The Bordeaux classification might advance the understanding of SHR and hopefully help improve THR outcomes. Cite this article: EFORT Open Rev 2018;3:39-44. DOI: 10.1302/2058-5241.3.170020

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