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Evaluation of changes in radiographic spinopelvic parameters after primary total hip arthroplasty and its relationship with short-term patient function

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

Total hip arthroplasty (THA) is commonly used worldwide in pelvic osteoarthritis treatment. This surgery can change the spinopelvic parameters, which in turn affects the performance of the patients after surgery. However, the relationship between functional disability following THA and spinopelvic alignment is not completely understood. The limited available studies have also been conducted on the population with spinopelvic malalignments. This study aimed to examine the changes in spinopelvic parameters after primary THA in patients with normal preoperative spinopelvic characteristics and the association of these parameters with the performance, gender, and age of the patients after THA.

Methods

Fifty-eight eligible patients with unilateral primary hip osteoarthritis (HOA) scheduled for total hip arthroplasty between February and September 2021 were studied. Spinopelvic parameters including pelvic incidence (PI), sacral slope (SS), and pelvic tilt (PT) were measured before surgery and three months after surgery, and the relationship between these parameters and patients' performance (Harris hip score) was assessed. Also, the relationship between the age and gender of the patients with these parameters was evaluated.

Results

The mean age of study participants was 46.03 ± 14.25. Three months after THA, sacral slope decreased with the mean difference of 4.31 ± 10.26 degrees (p = 0.002) and Harris hip score (HHS) increased by 19.41 ± 26.55 points (p < 0.001). With increasing age in patients, the mean SS and PT decreased. Among the spinopelvic parameters, SS (β = 0.11) had a greater effect than PT on postoperative HHS changes and among the demographic parameters, age (β = −0.18) had a greater effect on HHS changes than gender.

Conclusion

Spinopelvic parameters are associated with age, gender, and patient's function after THA as sacral slope decreased and HHS increased after THA, and aging is accompanied by lowering of PT and SS.

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Availability of data and materials

The data of this study is available, but it will be sent to the requester privately, not publicly.

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Funding

No funding was received to assist with the preparation of this manuscript.

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Authors and Affiliations

  1. Orthopedic Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Mohamad Qoreishy & Mohamad Movahedinia

  2. Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Sharifi Manesh Street, Shariati Street, Tehran, Iran

    Sohrab Keyhani, Mitra Goodarzi & Bahram Naghibi

  3. Medicine Faculty, Kerman University of Medical Sciences, Kerman, Iran

    Bentolhoda Salehi

Authors
  1. Mohamad Qoreishy
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  2. Mohamad Movahedinia
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  3. Sohrab Keyhani
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  4. Bentolhoda Salehi
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  5. Mitra Goodarzi
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  6. Bahram Naghibi
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Contributions

Mohamad Qoreishy: Study design, data collection, manuscript preparation; Bahram Naghibi: Study design, data collection and analyses, primary manuscript preparation; Sohrab Keyhani: Data collection, manuscript revision; Mohammad Movahedinia: Methodology design, manuscript revision, study design; Bentolhoda Salehi: Manuscript revision, Study design; Mitra Goodarzi: Manuscript revision, Study design; All authors read and approved the final manuscript.

Corresponding author

Correspondence to Bahram Naghibi.

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The authors have no relevant financial or non-financial interests to disclose.

Ethical Approval

The study protocol was reviewed and approved by the local Ethics Committee.

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Written informed consent was obtained from all patients before initiation of the study.

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Qoreishy, M., Movahedinia, M., Keyhani, S. et al. Evaluation of changes in radiographic spinopelvic parameters after primary total hip arthroplasty and its relationship with short-term patient function. Eur J Orthop Surg Traumatol 34, 225–230 (2024). https://doi.org/10.1007/s00590-023-03639-2

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  • DOI: https://doi.org/10.1007/s00590-023-03639-2

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