دورية أكاديمية
Factors associated with the progression of sagittal spinal deformity after total hip arthroplasty: a propensity score-matched cohort study.
| العنوان: | Factors associated with the progression of sagittal spinal deformity after total hip arthroplasty: a propensity score-matched cohort study. |
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| المؤلفون: | Matsuyama J; Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan., Okamoto Y; Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan. yoshinori.okamoto@ompu.ac.jp.; Department of Orthopedic Surgery, Saiseikai Ibaraki Hospital, 2-1-45, Mitsukeyama, Ibaraki, 567-0035, Japan. yoshinori.okamoto@ompu.ac.jp., Wakama H; Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan., Nakamura K; Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan., Saika T; Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan., Otsuki S; Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan., Neo M; Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, 569-8686, Japan. |
| المصدر: | International orthopaedics [Int Orthop] 2024 Aug; Vol. 48 (8), pp. 1953-1961. Date of Electronic Publication: 2024 Apr 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7705431 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-5195 (Electronic) Linking ISSN: 03412695 NLM ISO Abbreviation: Int Orthop Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Berlin : Springer Verlag |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Hip*/adverse effects , Arthroplasty, Replacement, Hip*/methods , Propensity Score* , Disease Progression*, Humans ; Female ; Male ; Retrospective Studies ; Middle Aged ; Aged ; Case-Control Studies ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Spinal Curvatures/surgery ; Spinal Curvatures/epidemiology ; Patient Reported Outcome Measures ; Adult |
| مستخلص: | Purpose: The functional interaction between the hip and spine in patients undergoing total hip arthroplasty (THA) is clinically significant, as it impacts post-operative outcomes. Therefore, this study aimed to identify factors associated with the progression of sagittal spinal deformity and assess the association with patient-reported outcomes. Methods: This retrospective case-control study included 200 patients who underwent primary THA and completed a mean follow-up duration of 42.2 months (range, 24.0-78.0). We employed a multivariate logistic regression to identify variables predictive of a post-THA sagittal vertical axis (SVA) ≥ 50 mm, which was indicative of a spinal sagittal imbalance. Propensity score-matched cohorts for age, sex, body mass index, follow-up duration, hip flexion contracture, developmental dysplasia, pelvic incidence (PI), and SVA were created, and the outcomes were compared between the two groups. Results: PI (odds ratio 1.39; 95% confidence interval 1.04-1.86, p = 0.033) was associated with an SVA ≥ 50 mm. After successfully matching patients with (n = 50) and without (n = 50) an SVA ≥ 50 mm, the minimum clinically important difference showed significant differences between the 50 matched pairs (p = 0.016 for EuroQol-5D, p = 0.003 for Hip Disability and Osteoarthritis Outcome Score Joint Replacement, and p < 0.001 for low back pain). Conclusion: PI is associated with the development of a positive sagittal spinal malalignment post-THA. This finding can assist surgeons in managing patient expectations and in optimising outcomes. Feasible strategies are warranted to minimise the risk of spinal deformity progression post-THA. (© 2024. The Author(s) under exclusive licence to SICOT aisbl.) |
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| معلومات مُعتمدة: | AS2022A000237517 Johnson and Johnson Medical Research Grant; 21K09239 Japan Society for the Promotion of Science |
| فهرسة مساهمة: | Keywords: Patient-reported outcome; Pelvic incidence; Sagittal vertical axis; Spinal sagittal imbalance; Total hip arthroplasty |
| تواريخ الأحداث: | Date Created: 20240408 Date Completed: 20240713 Latest Revision: 20240713 |
| رمز التحديث: | 20240713 |
| DOI: | 10.1007/s00264-024-06174-9 |
| PMID: | 38589707 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1432-5195 |
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| DOI: | 10.1007/s00264-024-06174-9 |