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EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS

OBJECTIVE: To assess the influence of hip flexion contracture on lumbar lordosis and spinopelvic parameters and the changes in these parameters after total hip arthroplasty (THA). METHODS: Twenty adult patients with hip osteoarthritis were divided into two groups (ten patients with hip flexion contr...

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Autores principales: PINHEIRO, RÔMULO PEDROZA, DEFINO, MATHEUS PIPPA, GARCIA, FLÁVIO LUIS
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9425921/
https://www.ncbi.nlm.nih.gov/pubmed/36092183
http://dx.doi.org/10.1590/1413-785220223004e249453
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author PINHEIRO, RÔMULO PEDROZA
DEFINO, MATHEUS PIPPA
GARCIA, FLÁVIO LUIS
author_facet PINHEIRO, RÔMULO PEDROZA
DEFINO, MATHEUS PIPPA
GARCIA, FLÁVIO LUIS
author_sort PINHEIRO, RÔMULO PEDROZA
collection PubMed
description OBJECTIVE: To assess the influence of hip flexion contracture on lumbar lordosis and spinopelvic parameters and the changes in these parameters after total hip arthroplasty (THA). METHODS: Twenty adult patients with hip osteoarthritis were divided into two groups (ten patients with hip flexion contracture and ten without contracture). Patients were assessed preoperatively and six months after THA using the radiographic parameters sagittal vertical axis (SVA), lumbar lordosis (LL), pelvic incidence (PI), sacral slope (SS), and pelvic tilt (PT). RESULTS: No statistical difference was found between pre- and postoperative LL values in the groups. After THA, both groups had increased PT and the group without hip flexion contracture had reduced SS. CONCLUSION: Patients with hip osteoarthritis and hip flexion contracture tend to have an increased LL in the orthostatic position compared to patients without contracture, but with no statistical significance. After THA, PT increased in both groups and SS decreased in patients without hip contracture. Studies should further investigate the role of hip flexion contracture on pelvic mobility and spinopelvic parameters to better understand these relations. Level of Evidence III, Case-Control Study.
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spelling pubmed-94259212022-09-09 EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS PINHEIRO, RÔMULO PEDROZA DEFINO, MATHEUS PIPPA GARCIA, FLÁVIO LUIS Acta Ortop Bras Original Article OBJECTIVE: To assess the influence of hip flexion contracture on lumbar lordosis and spinopelvic parameters and the changes in these parameters after total hip arthroplasty (THA). METHODS: Twenty adult patients with hip osteoarthritis were divided into two groups (ten patients with hip flexion contracture and ten without contracture). Patients were assessed preoperatively and six months after THA using the radiographic parameters sagittal vertical axis (SVA), lumbar lordosis (LL), pelvic incidence (PI), sacral slope (SS), and pelvic tilt (PT). RESULTS: No statistical difference was found between pre- and postoperative LL values in the groups. After THA, both groups had increased PT and the group without hip flexion contracture had reduced SS. CONCLUSION: Patients with hip osteoarthritis and hip flexion contracture tend to have an increased LL in the orthostatic position compared to patients without contracture, but with no statistical significance. After THA, PT increased in both groups and SS decreased in patients without hip contracture. Studies should further investigate the role of hip flexion contracture on pelvic mobility and spinopelvic parameters to better understand these relations. Level of Evidence III, Case-Control Study. ATHA EDITORA 2022-08-26 /pmc/articles/PMC9425921/ /pubmed/36092183 http://dx.doi.org/10.1590/1413-785220223004e249453 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
PINHEIRO, RÔMULO PEDROZA
DEFINO, MATHEUS PIPPA
GARCIA, FLÁVIO LUIS
EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS
title EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS
title_full EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS
title_fullStr EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS
title_full_unstemmed EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS
title_short EFFECTS OF HIP FLEXION CONTRACTURE ON SAGITTAL SPINOPELVIC PARAMETERS
title_sort effects of hip flexion contracture on sagittal spinopelvic parameters
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9425921/
https://www.ncbi.nlm.nih.gov/pubmed/36092183
http://dx.doi.org/10.1590/1413-785220223004e249453
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