The Role of Spinopelvic Parameters in Total Hip Arthroplasty: A Current Concept Review
-
Mir Mansour Moazen Jamshidi
,
Alireza Moharrami
,
seyed peyman Mirghaderi
,
Sadula Sharifpour
,
Amir Reza Mafi
,
SM Javad Mortazavi
Abstract
The spine, pelvis, and hip are three anatomic structures that tightly interact to create spinopelvic mobility and harmony. Orthopaedic surgeons, both spine and hip specialists, must have a complete awareness of this concept. Recently, the literature has placed great emphasis on paying attention to these parameters in the preoperative planning of the total hip arthroplasty (THA). We could distinguish between balanced and unbalanced pelvis and spine with spinopelvic parameters and therefore, we could diagnose the spinopelvic stiffness that is important in preventing complications following THA. This review briefly introduces the importance of spinopelvic parameters and their critical role in THA outcome. Treatment algorithms are also provided based on the most recent studies.
1. Dorr LD, Malik A, Wan Z, Long WT, Harris M. Precision and bias of imageless computer navigation and surgeon estimates for acetabular component position. Clin Orthop Relat Res. 2007;465:92-9. doi: 10.1097/BLO.0b013e3181560c51. [PubMed: 17693877].
2. Innmann MM, Merle C, Gotterbarm T, Ewerbeck V, Beaule PE, Grammatopoulos G. Can spinopelvic mobility be predicted in patients awaiting total hip arthroplasty? A prospective, diagnostic study of patients with end-stage hip osteoarthritis. Bone Joint J. 2019;101-B(8):902-9. doi: 10.1302/0301- 620X.101B8.BJJ-2019-0106.R1. [PubMed: 31362559].
3. Legaye J, Duval-Beaupere G, Hecquet J, Marty C. Pelvic incidence: A fundamental pelvic parameter for three- dimensional regulation of spinal sagittal curves. Eur Spine J. 1998;7(2):99-103. doi: 10.1007/s005860050038. [PubMed: 9629932]. [PubMed Central: PMC3611230].
4. Hajivandi S, Dachek A, Salimi A, Mamaghani HJ, Mirghaderi SP, Dehghani J, et al. Comparison of the separate and combined effects of physiotherapy treatment and corticosteroid injection on the range of motion and pain in nontraumatic rotator cuff tear: A randomized controlled trial. Adv Orthop. 2021;2021:6789453. doi: 10.1155/2021/6789453. [PubMed: 34733561]. [PubMed Central: PMC8560293].
5. Salimi M, Dehghani J, Gerami MH. Efficacy of elastic intramedullary nails in treating axially unstable femur fracture in children. Pak J Med Health Sci. 2021;15(1):572-6.
6. Phan D, Bederman SS, Schwarzkopf R. The influence of sagittal spinal deformity on anteversion of the acetabular component in total hip arthroplasty. Bone Joint J. 2015;97-B(8):1017-23. doi: 10.1302/0301-620X.97B8.35700. [PubMed: 26224815].
7. Homma Y, Ishii S, Yanagisawa N, Ochi H, Baba T, Nojiri H, et al. Pelvic mobility before and after total hip arthroplasty. Int Orthop. 2020;44(11):2267-74. doi: 10.1007/s00264-020-04688-6. [PubMed: 32623495].
8. Maratt JD, Esposito CI, McLawhorn AS, Jerabek SA, Padgett DE, Mayman DJ. Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter? J Arthroplasty. 2015;30(3):387-91. doi: 10.1016/j.arth.2014.10.01. [PubMed: 25453626]. [PubMed Central: PMC4359644].
9. Wan Z, Malik A, Jaramaz B, Chao L, Dorr LD. Imaging and navigation measurement of acetabular component position in THA. Clin Orthop Relat Res. 2009;467(1):32-42. doi: 10.1007/s11999-008-0597-5. [PubMed: 18979147]. [PubMed Central: PMC2600979].
10. Bidaki M, Vosoughi F, Zarei M, Kalantar SH. Diagnosis and management of spinopelvic dissociation. J Orthop Spine Trauma. 2021;6(3):61-4. doi: 10.18502/jost.v6i3.4967.
11. Haffer H, Adl AD, Perka C, Pumberger M. The Impact of spinopelvic mobility on arthroplasty: Implications for hip and spine surgeons. J Clin Med. 2020;9(8):2569. doi: 10.3390/jcm9082569. [PubMed: 32784374]. [PubMed Central: PMC7464017].
12. Fogel GR, Esses SI. Hip spine syndrome: management of coexisting radiculopathy and arthritis of the lower extremity. Spine J. 2003;3(3):238-41. doi: 10.1016/s1529-9430(02)00453-9 [doi]. Retrieved from. [PubMed: 14589205].
13. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89(4):780- 5. doi: 10.2106/JBJS.F.00222. [PubMed: 17403800].
14. Malkani AL, Garber AT, Ong KL, Dimar JR, Baykal D, Glassman SD, et al. Total hip arthroplasty in patients with previous lumbar fusion surgery: Are there more dislocations and revisions? J Arthroplasty. 2018;33(4):1189-93. doi: 10.1016/j.arth.2017.10.041. [PubMed: 29174406].
15. Ochi H, Baba T, Homma Y, Matsumoto M, Nojiri H, Kaneko K. Importance of the spinopelvic factors on the pelvic inclination from standing to sitting before total hip arthroplasty. Eur Spine J. 2016;25(11):3699-706. doi: 10.1007/s00586-015-4217-2. [PubMed: 26329653].
16. Sultan AA, Khlopas A, Piuzzi NS, Chughtai M, Sodhi N, Mont MA. The impact of spino-pelvic alignment on total hip arthroplasty outcomes: A critical analysis of current evidence. J Arthroplasty. 2018;33(5):1606-16. doi: 10.1016/j.arth.2017.11.021. [PubMed: 29233568].
17. An VVG, Phan K, Sivakumar BS, Mobbs RJ, Bruce WJ. Prior lumbar spinal fusion is associated with an increased risk of dislocation and revision in total hip arthroplasty: A meta- analysis. J Arthroplasty. 2018;33(1):297-300. doi: 10.1016/j.arth.2017.08.040. [PubMed: 28974376].
18. Endo K, Suzuki H, Nishimura H, Tanaka H, Shishido T, Yamamoto K. Sagittal lumbar and pelvic alignment in the standing and sitting positions. J Orthop Sci. 2012;17(6):682-6. doi: 10.1007/s00776-012-0281-1. [PubMed: 22915074].
19. Boulay C, Tardieu C, Hecquet J, Benaim C, Mouilleseaux B, Marty C, et al. Sagittal alignment of spine and pelvis regulated by pelvic incidence: Standard values and prediction of lordosis. Eur Spine J. 2006;15(4):415-22. doi: 10.1007/s00586-005- 0984-5. [PubMed: 16179995]. [PubMed Central: PMC3489325].
20. Labelle H, Roussouly P, Berthonnaud E, Transfeldt E, O'Brien M, Chopin D, et al. Spondylolisthesis, pelvic incidence, and spinopelvic balance: A correlation study. Spine (Phila Pa 1976). 2004;29(18):2049-54. doi: 10.1097/01.brs.0000138279.53439.cc. [PubMed: 15371707].
21. Luthringer TA, Vigdorchik JM. A preoperative workup of a "hip- spine" total hip arthroplasty patient: A simplified approach to a complex problem. J Arthroplasty. 2019;34(7S):S57-S70. doi: 10.1016/j.arth.2019.01.012. [PubMed: 30755374].
22. Mac-Thiong JM, Labelle H. A proposal for a surgical classification of pediatric lumbosacral spondylolisthesis based on current literature. Eur Spine J. 2006;15(10):1425-35. doi: 10.1007/s00586-006-0101-4. [PubMed: 16758151].
23. Kanawade V, Dorr LD, Wan Z. Predictability of acetabular component angular change with postural shift from standing to sitting position. J Bone Joint Surg Am. 2014;96(12):978-86. doi: 10.2106/JBJS.M.00765. [PubMed: 24951732].
24. Ike H, Dorr LD, Trasolini N, Stefl M, McKnight B, Heckmann N. Spine-pelvis-hip relationship in the functioning of a total hip replacement. J Bone Joint Surg Am. 2018;100(18):1606-15. doi: 10.2106/JBJS.17.00403. [PubMed: 30234627].
25. Attenello JD, Harpstrite JK. Implications of spinopelvic mobility on total hip arthroplasty: Review of current literature. Hawaii J Health Soc Welf. 2019;78(11 Suppl 2):31-40. [PubMed: 31773109]. [PubMed Central: PMC6874697].
26. Schwab FJ, Blondel B, Bess S, Hostin R, Shaffrey CI, Smith JS, et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: A prospective multicenter analysis. Spine (Phila Pa 1976). 2013;38(13):E803- E812. doi: 10.1097/BRS.0b013e318292b7b9. [PubMed: 23722572].
27. Esposito CI, Miller TT, Kim HJ, Barlow BT, Wright TM, Padgett DE, et al. Does degenerative lumbar spine disease influence femoroacetabular flexion in patients undergoing total hip arthroplasty? Clin Orthop Relat Res. 2016;474(8):1788-97. doi: 10.1007/s11999-016-4787-2. [PubMed: 27020429]. [PubMed Central: PMC4925410].
28. Zheng GQ, Zhang YG, Chen JY, Wang Y. Decision making regarding spinal osteotomy and total hip replacement for ankylosing spondylitis: experience with 28 patients. Bone Joint J. 2014;96-B(3):360-5. doi: 10.1302/0301-620X.96B3.32774. [PubMed: 24589792].
29. Stefl M, Lundergan W, Heckmann N, McKnight B, Ike H, Murgai R, et al. Spinopelvic mobility and acetabular component position for total hip arthroplasty. Bone Joint J. 2017;99-B(1 Supple A):37-45. doi: 10.1302/0301-620X.99B1.BJJ-2016-0415.R1. [PubMed: 28042117].
2. Innmann MM, Merle C, Gotterbarm T, Ewerbeck V, Beaule PE, Grammatopoulos G. Can spinopelvic mobility be predicted in patients awaiting total hip arthroplasty? A prospective, diagnostic study of patients with end-stage hip osteoarthritis. Bone Joint J. 2019;101-B(8):902-9. doi: 10.1302/0301- 620X.101B8.BJJ-2019-0106.R1. [PubMed: 31362559].
3. Legaye J, Duval-Beaupere G, Hecquet J, Marty C. Pelvic incidence: A fundamental pelvic parameter for three- dimensional regulation of spinal sagittal curves. Eur Spine J. 1998;7(2):99-103. doi: 10.1007/s005860050038. [PubMed: 9629932]. [PubMed Central: PMC3611230].
4. Hajivandi S, Dachek A, Salimi A, Mamaghani HJ, Mirghaderi SP, Dehghani J, et al. Comparison of the separate and combined effects of physiotherapy treatment and corticosteroid injection on the range of motion and pain in nontraumatic rotator cuff tear: A randomized controlled trial. Adv Orthop. 2021;2021:6789453. doi: 10.1155/2021/6789453. [PubMed: 34733561]. [PubMed Central: PMC8560293].
5. Salimi M, Dehghani J, Gerami MH. Efficacy of elastic intramedullary nails in treating axially unstable femur fracture in children. Pak J Med Health Sci. 2021;15(1):572-6.
6. Phan D, Bederman SS, Schwarzkopf R. The influence of sagittal spinal deformity on anteversion of the acetabular component in total hip arthroplasty. Bone Joint J. 2015;97-B(8):1017-23. doi: 10.1302/0301-620X.97B8.35700. [PubMed: 26224815].
7. Homma Y, Ishii S, Yanagisawa N, Ochi H, Baba T, Nojiri H, et al. Pelvic mobility before and after total hip arthroplasty. Int Orthop. 2020;44(11):2267-74. doi: 10.1007/s00264-020-04688-6. [PubMed: 32623495].
8. Maratt JD, Esposito CI, McLawhorn AS, Jerabek SA, Padgett DE, Mayman DJ. Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter? J Arthroplasty. 2015;30(3):387-91. doi: 10.1016/j.arth.2014.10.01. [PubMed: 25453626]. [PubMed Central: PMC4359644].
9. Wan Z, Malik A, Jaramaz B, Chao L, Dorr LD. Imaging and navigation measurement of acetabular component position in THA. Clin Orthop Relat Res. 2009;467(1):32-42. doi: 10.1007/s11999-008-0597-5. [PubMed: 18979147]. [PubMed Central: PMC2600979].
10. Bidaki M, Vosoughi F, Zarei M, Kalantar SH. Diagnosis and management of spinopelvic dissociation. J Orthop Spine Trauma. 2021;6(3):61-4. doi: 10.18502/jost.v6i3.4967.
11. Haffer H, Adl AD, Perka C, Pumberger M. The Impact of spinopelvic mobility on arthroplasty: Implications for hip and spine surgeons. J Clin Med. 2020;9(8):2569. doi: 10.3390/jcm9082569. [PubMed: 32784374]. [PubMed Central: PMC7464017].
12. Fogel GR, Esses SI. Hip spine syndrome: management of coexisting radiculopathy and arthritis of the lower extremity. Spine J. 2003;3(3):238-41. doi: 10.1016/s1529-9430(02)00453-9 [doi]. Retrieved from. [PubMed: 14589205].
13. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89(4):780- 5. doi: 10.2106/JBJS.F.00222. [PubMed: 17403800].
14. Malkani AL, Garber AT, Ong KL, Dimar JR, Baykal D, Glassman SD, et al. Total hip arthroplasty in patients with previous lumbar fusion surgery: Are there more dislocations and revisions? J Arthroplasty. 2018;33(4):1189-93. doi: 10.1016/j.arth.2017.10.041. [PubMed: 29174406].
15. Ochi H, Baba T, Homma Y, Matsumoto M, Nojiri H, Kaneko K. Importance of the spinopelvic factors on the pelvic inclination from standing to sitting before total hip arthroplasty. Eur Spine J. 2016;25(11):3699-706. doi: 10.1007/s00586-015-4217-2. [PubMed: 26329653].
16. Sultan AA, Khlopas A, Piuzzi NS, Chughtai M, Sodhi N, Mont MA. The impact of spino-pelvic alignment on total hip arthroplasty outcomes: A critical analysis of current evidence. J Arthroplasty. 2018;33(5):1606-16. doi: 10.1016/j.arth.2017.11.021. [PubMed: 29233568].
17. An VVG, Phan K, Sivakumar BS, Mobbs RJ, Bruce WJ. Prior lumbar spinal fusion is associated with an increased risk of dislocation and revision in total hip arthroplasty: A meta- analysis. J Arthroplasty. 2018;33(1):297-300. doi: 10.1016/j.arth.2017.08.040. [PubMed: 28974376].
18. Endo K, Suzuki H, Nishimura H, Tanaka H, Shishido T, Yamamoto K. Sagittal lumbar and pelvic alignment in the standing and sitting positions. J Orthop Sci. 2012;17(6):682-6. doi: 10.1007/s00776-012-0281-1. [PubMed: 22915074].
19. Boulay C, Tardieu C, Hecquet J, Benaim C, Mouilleseaux B, Marty C, et al. Sagittal alignment of spine and pelvis regulated by pelvic incidence: Standard values and prediction of lordosis. Eur Spine J. 2006;15(4):415-22. doi: 10.1007/s00586-005- 0984-5. [PubMed: 16179995]. [PubMed Central: PMC3489325].
20. Labelle H, Roussouly P, Berthonnaud E, Transfeldt E, O'Brien M, Chopin D, et al. Spondylolisthesis, pelvic incidence, and spinopelvic balance: A correlation study. Spine (Phila Pa 1976). 2004;29(18):2049-54. doi: 10.1097/01.brs.0000138279.53439.cc. [PubMed: 15371707].
21. Luthringer TA, Vigdorchik JM. A preoperative workup of a "hip- spine" total hip arthroplasty patient: A simplified approach to a complex problem. J Arthroplasty. 2019;34(7S):S57-S70. doi: 10.1016/j.arth.2019.01.012. [PubMed: 30755374].
22. Mac-Thiong JM, Labelle H. A proposal for a surgical classification of pediatric lumbosacral spondylolisthesis based on current literature. Eur Spine J. 2006;15(10):1425-35. doi: 10.1007/s00586-006-0101-4. [PubMed: 16758151].
23. Kanawade V, Dorr LD, Wan Z. Predictability of acetabular component angular change with postural shift from standing to sitting position. J Bone Joint Surg Am. 2014;96(12):978-86. doi: 10.2106/JBJS.M.00765. [PubMed: 24951732].
24. Ike H, Dorr LD, Trasolini N, Stefl M, McKnight B, Heckmann N. Spine-pelvis-hip relationship in the functioning of a total hip replacement. J Bone Joint Surg Am. 2018;100(18):1606-15. doi: 10.2106/JBJS.17.00403. [PubMed: 30234627].
25. Attenello JD, Harpstrite JK. Implications of spinopelvic mobility on total hip arthroplasty: Review of current literature. Hawaii J Health Soc Welf. 2019;78(11 Suppl 2):31-40. [PubMed: 31773109]. [PubMed Central: PMC6874697].
26. Schwab FJ, Blondel B, Bess S, Hostin R, Shaffrey CI, Smith JS, et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: A prospective multicenter analysis. Spine (Phila Pa 1976). 2013;38(13):E803- E812. doi: 10.1097/BRS.0b013e318292b7b9. [PubMed: 23722572].
27. Esposito CI, Miller TT, Kim HJ, Barlow BT, Wright TM, Padgett DE, et al. Does degenerative lumbar spine disease influence femoroacetabular flexion in patients undergoing total hip arthroplasty? Clin Orthop Relat Res. 2016;474(8):1788-97. doi: 10.1007/s11999-016-4787-2. [PubMed: 27020429]. [PubMed Central: PMC4925410].
28. Zheng GQ, Zhang YG, Chen JY, Wang Y. Decision making regarding spinal osteotomy and total hip replacement for ankylosing spondylitis: experience with 28 patients. Bone Joint J. 2014;96-B(3):360-5. doi: 10.1302/0301-620X.96B3.32774. [PubMed: 24589792].
29. Stefl M, Lundergan W, Heckmann N, McKnight B, Ike H, Murgai R, et al. Spinopelvic mobility and acetabular component position for total hip arthroplasty. Bone Joint J. 2017;99-B(1 Supple A):37-45. doi: 10.1302/0301-620X.99B1.BJJ-2016-0415.R1. [PubMed: 28042117].
| Files | ||
| Issue | Vol 8, No 2 (2022) | |
| Section | Review Article | |
| DOI | https://doi.org/10.18502/jost.v8i2.9308 | |
| Keywords | ||
| Pelvic Bones Diagnostic Imaging Spine Total Hip Arthroplasty Postural Balance Physiology | ||
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How to Cite
1.
Moazen Jamshidi MM, Moharrami A, Mirghaderi seyed peyman, Sharifpour S, Mafi AR, Mortazavi SJ. The Role of Spinopelvic Parameters in Total Hip Arthroplasty: A Current Concept Review. J Orthop Spine Trauma. 2022;8(2):40-3.
