Louette, S, Wignall, A and Pandit, H orcid.org/0000-0001-7392-8561 (Cover date: October 2022) Spinopelvic relationship and its impact on total hip arthroplasty. Arthroplasty Today, 17. pp. 87-93. ISSN 2352-3441
Abstract
The dynamic, complex interaction among the spine, pelvis, and hip is often underappreciated, yet understanding it is vital for both arthroplasty and spinal surgeons. There is an increasing incidence of degenerative hip and spinal pathologies as a result of the ageing population. Furthermore, hip pathology can cause spine pathology and vice versa through “hip-spine” and “spine-hip syndrome.” Consequently, total hip arthroplasty (THA) and spinal fusion surgery, which both affect spinopelvic mobility, are also on the rise. Alteration in spinopelvic motion can affect the orientation of the acetabulum and, therefore, implant positioning in THA, leading to complications such as dislocation, impingement, aseptic loosening, and wear of components. This makes it imperative to assess spinopelvic motion and pelvic tilt prior to patients undergoing THA. In this paper, we explore how the surgeon should proceed to reduce risk of component malalignment, as well as the role of navigation systems in acetabular cup positioning.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2022 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
Keywords: | Total hip arthroplasty, Pelvic tilt, Spinopelvic mobility, Dislocation, Navigation systems |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Orthopaedics (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Jul 2022 14:36 |
Last Modified: | 17 Aug 2023 15:57 |
Published Version: | https://www.arthroplastytoday.org/article/S2352-34... |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.artd.2022.07.001 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:189020 |
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