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Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system
Patients with adult spinal deformity have various standing postures. Although several studies have reported a relationship between sagittal alignment and exacerbation of hip osteoarthritis, information is limited regarding how spinopelvic sagittal alignment changes affect hip joint loading. This stu...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553155/ https://www.ncbi.nlm.nih.gov/pubmed/34710144 http://dx.doi.org/10.1371/journal.pone.0259049 |
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author | Miura, Takanori Miyakoshi, Naohisa Saito, Kimio Kijima, Hiroaki Iida, Jumpei Hatakeyama, Kazutoshi Suzuki, Kotaro Komatsu, Akira Iwami, Takehiro Matsunaga, Tosiki Shimada, Yoichi |
author_facet | Miura, Takanori Miyakoshi, Naohisa Saito, Kimio Kijima, Hiroaki Iida, Jumpei Hatakeyama, Kazutoshi Suzuki, Kotaro Komatsu, Akira Iwami, Takehiro Matsunaga, Tosiki Shimada, Yoichi |
author_sort | Miura, Takanori |
collection | PubMed |
description | Patients with adult spinal deformity have various standing postures. Although several studies have reported a relationship between sagittal alignment and exacerbation of hip osteoarthritis, information is limited regarding how spinopelvic sagittal alignment changes affect hip joint loading. This study aimed to investigate the relationship between sagittal spinopelvic-lower limb alignment and the hip joint contact force (HCF) using a novel musculoskeletal model. We enrolled 20 women (78.3±6.7 years) from a single institution. Standing lateral radiographs were acquired to measure thoracic kyphosis, lumbar lordosis, the pelvic tilt, sacral slope, sagittal vertical axis (SVA), femur obliquity angle, and knee flexion angle. In the model simulation, the Anybody Modeling System was used, which alters muscle pathways using magnetic resonance imaging data. Each patient’s alignment was entered into the model; the HCF and hip moment in the standing posture were calculated using inverse dynamics analysis. The relationship between the HCF and each parameter was examined using Spearman’s correlation coefficient (r). The patients were divided into low SVA and high SVA groups, with a cutoff value of 50 mm for the SVA. The HCF was 168.2±60.1 N (%BW) and positively correlated with the SVA (r = 0.6343, p<0.01) and femur obliquity angle (r = 0.4670, p = 0.03). The HCF were 122.2 and 214.1 N (75.2% difference) in the low SVA and high SVA groups, respectively (p<0.01). The flexion moment was also increased in the high SVA group compared with that in the low SVA group (p = 0.03). The SVA and femur obliquity angle are factors related to the HCF, suggesting an association between adult spinal deformity and the exacerbation of hip osteoarthritis. Future studies will need to assess the relationship between the hip joint load and sagittal spinopelvic parameters in dynamic conditions. |
format | Online Article Text |
id | pubmed-8553155 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-85531552021-10-29 Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system Miura, Takanori Miyakoshi, Naohisa Saito, Kimio Kijima, Hiroaki Iida, Jumpei Hatakeyama, Kazutoshi Suzuki, Kotaro Komatsu, Akira Iwami, Takehiro Matsunaga, Tosiki Shimada, Yoichi PLoS One Research Article Patients with adult spinal deformity have various standing postures. Although several studies have reported a relationship between sagittal alignment and exacerbation of hip osteoarthritis, information is limited regarding how spinopelvic sagittal alignment changes affect hip joint loading. This study aimed to investigate the relationship between sagittal spinopelvic-lower limb alignment and the hip joint contact force (HCF) using a novel musculoskeletal model. We enrolled 20 women (78.3±6.7 years) from a single institution. Standing lateral radiographs were acquired to measure thoracic kyphosis, lumbar lordosis, the pelvic tilt, sacral slope, sagittal vertical axis (SVA), femur obliquity angle, and knee flexion angle. In the model simulation, the Anybody Modeling System was used, which alters muscle pathways using magnetic resonance imaging data. Each patient’s alignment was entered into the model; the HCF and hip moment in the standing posture were calculated using inverse dynamics analysis. The relationship between the HCF and each parameter was examined using Spearman’s correlation coefficient (r). The patients were divided into low SVA and high SVA groups, with a cutoff value of 50 mm for the SVA. The HCF was 168.2±60.1 N (%BW) and positively correlated with the SVA (r = 0.6343, p<0.01) and femur obliquity angle (r = 0.4670, p = 0.03). The HCF were 122.2 and 214.1 N (75.2% difference) in the low SVA and high SVA groups, respectively (p<0.01). The flexion moment was also increased in the high SVA group compared with that in the low SVA group (p = 0.03). The SVA and femur obliquity angle are factors related to the HCF, suggesting an association between adult spinal deformity and the exacerbation of hip osteoarthritis. Future studies will need to assess the relationship between the hip joint load and sagittal spinopelvic parameters in dynamic conditions. Public Library of Science 2021-10-28 /pmc/articles/PMC8553155/ /pubmed/34710144 http://dx.doi.org/10.1371/journal.pone.0259049 Text en © 2021 Miura et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Miura, Takanori Miyakoshi, Naohisa Saito, Kimio Kijima, Hiroaki Iida, Jumpei Hatakeyama, Kazutoshi Suzuki, Kotaro Komatsu, Akira Iwami, Takehiro Matsunaga, Tosiki Shimada, Yoichi Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system |
title | Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system |
title_full | Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system |
title_fullStr | Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system |
title_full_unstemmed | Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system |
title_short | Association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system |
title_sort | association between global sagittal malalignment and increasing hip joint contact force, analyzed by a novel musculoskeletal modeling system |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553155/ https://www.ncbi.nlm.nih.gov/pubmed/34710144 http://dx.doi.org/10.1371/journal.pone.0259049 |
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