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T1 pelvic angle is associated with rapid progression of hip arthrosis

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Abstract

Purpose

To evaluate the association between global spinal malalignment and rapid progression of hip arthrosis.

Methods

This was a retrospective, case–control study including 90 patients, contributing 90 hips, who underwent hemi- or total hip arthroplasty at our institution. For analysis, hips were classified into a rapid progression group, defined as ≥ 2 mm destruction of the femoral head or loss of the hip joint space within a 12-month period (n = 30), and a non-rapid progression group, defined by no observable hip disease progression over a period more than 12 months (n = 60). Logistic regression analysis identified factors that predicted rapid progression, with a receiver operating characteristic curve analysis used to confirm factors.

Results

Significant between-group differences were identified for the following parameters: pelvic tilt (P = 0.002, PT), sagittal vertical axis (P = 0.002, SVA), and T1 pelvic angle (P < 0.001, TPA). On multiple logistic regression, PT (P = 0.002), SVA (P = 0.002), and TPA (P < 0.001) were predictive of a rapid progression on hip arthrosis, with the area under the curve being greater for TPA than PT (P = 0.035).

Conclusion

Global spinal alignment is associated with rapid progression of hip arthrosis. TPA could assist in identifying patients at risk for rapid progression of hip arthrosis, allowing for time management.

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Acknowledgements

We would like to thank Takashi Fujishiro, MD, PhD, for helpful discussions and comments on the manuscript, and Editage (www.editage.com) for English language editing.

Funding

Role of funding agency: This study was supported by the Grants-in-Aid for Scientific Research of Japan Society KAKENHI for the Promotion of Science, Grant Number 21K09239.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-Machi, Takatsuki, 569-8686, Japan

    Kaito Nakamura, Yoshinori Okamoto, Hitoshi Wakama, Junya Matsuyama, Takashi Ishitani, Shuhei Otsuki & Masashi Neo

Authors
  1. Kaito Nakamura
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  2. Yoshinori Okamoto
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  3. Hitoshi Wakama
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  4. Junya Matsuyama
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  6. Shuhei Otsuki
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  7. Masashi Neo
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Contributions

KN, YO, HW, and SO designed the study. KN, JM, and TI analyzed the data. KN, YO, WH, JM, TI, SO, and MN wrote the manuscript. YO, HW, and MN supervised the study. KN, YO, and MN ensured the accuracy of the data and analysis. All authors read and approved the final manuscript.

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Correspondence to Yoshinori Okamoto.

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Nakamura, K., Okamoto, Y., Wakama, H. et al. T1 pelvic angle is associated with rapid progression of hip arthrosis. Eur Spine J 32, 1463–1470 (2023). https://doi.org/10.1007/s00586-023-07580-0

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