THE IMPACT OF LUMBAR SPINE DISEASE ON HIP-SPINE RELATIONSHIP IN TOTAL HIPARTHROPLASTY: A SYSTEMATIC REVIEW
Keywords:
Hip-Spine Relationship, Lumbar Spine Disease, Total Hip ArthroplastyAbstract
Since 1983, when the hip-spine condition was proposed for the first time, a substantial amount of research has been conducted on the hip-spine connection. Tilt-related lumbar spine disease, commonly known as LSD, has been the focus of much research and is now recognized as an independent risk factor for dislocation, which can lead to an increased likelihood of revision total hip arthroplasty (THA). Due to the inflexible sacroiliac attachments, normal spinopelvic motion consists of the pelvis tilting backwards in a seated posture and forwards in a standing position. In addition, the common lumbar illnesses, such as degenerative disc disease (DDD), degenerative lumbar spondylolisthesis (DSPL), ankylosing spondylitis (AS), and lumbar spinal fusion (LSF), have various spinal-hip-femoral compensatory processes. Even with the appropriate placement of the prosthesis, these mechanisms can contribute to intraoperative complications, such as difficulty in hip implantation and the potential for hip repositioning. For the evaluation of spinopelvic mobility, LSD is a significant element. To achieve a satisfying THA with a low rate of dislocation and wear, the surgeon should pay closer attention to the correlation between lumbar disease and sagittal spinal balance, and then develop treatment strategies based on the patients' risk classifications.
References
Devin CJ, McCullough KA, Morris BJ, Yates AJ, Kang JD. Hip-spine syndrome. JAAOS-Journal Am Acad Orthop Surg. 2012;20(7):434–42.
Ben-Galim P, Ben-Galim T, Rand N, Haim A, Hipp J, Dekel S, et al. Hip-spine syndrome: the effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip. Spine (Phila Pa 1976). 2007;32(19):2099– 102.
Redmond JM, Gupta A, Hammarstedt JE, Stake CE, Domb BG. The hip-spine syndrome: how does back pain impact the indications and outcomes of hip arthroscopy? Arthrosc J Arthrosc Relat Surg. 2014;30(7):872–81.
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.
Buckland AJ, Puvanesarajah V, Vigdorchik J, Schwarzkopf R, Jain A, Klineberg EO, et al. Dislocation of a primary total hip arthroplasty is more common in patients with a lumbar spinal fusion. Bone Joint J. 2017;99(5):585–91.
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(8):1017–23.
Rivière C, Lazennec J-Y, Van Der Straeten C, Auvinet E, Cobb J, MuirheadAllwood S. The influence of spine-hip relations on total hip replacement: a systematic review. Orthop Traumatol Surg Res. 2017;103(4):559–68.
Tang WM, Chiu KY. Primary total hip arthroplasty in patients with ankylosing spondylitis. J Arthroplasty. 2000;15(1):52–8.
Tang WM, Chiu KY, Kwan MFY, Ng TP. Sagittal pelvic mal-rotation and positioning of the acetabular component in total hip arthroplasty: three-dimensional computer model analysis. J Orthop Res. 2007;25(6):766–71.
Bala A, Chona D V, Amanatullah DF, Hu SS, Wood KB, Alamin TF, et al.
Timing of lumbar spinal fusion affects total hip arthroplasty outcomes. JAAOS Glob Res Rev. 2019;3(11). 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;474:1788–97.
Mancino F, Cacciola G, Di Matteo V, Perna A, Proietti L, Greenberg A, et al. Surgical implications of the hip-spine relationship in total hip arthroplasty. Orthop Rev (Pavia). 2020;12(Suppl 1).
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(1_Supple_A):37–45.
Shen K, Lin L, Feng E, Zhang Y, Xiao L, Lin F, et al. Influence of sagittal degenerative spondylolisthesis on anteversion of the acetabular component in total hip arthroplasty. Orthopade. 2021;50(8).
Hu J, Qian B, Qiu Y, Wang B, Yu Y, Zhu Z-Z, et al. Can acetabular orientation be restored by lumbar pedicle subtraction osteotomy in ankylosing spondylitis patients with thoracolumbar kyphosis? Eur Spine J [Internet]
;26(7):1826–32. Available from: https://doi.org/10.1007/s00586-016-4709-8
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(3):360–5.
Ranawat CS, Ranawat AS, Lipman JD, White PB, Meftah M. Effect of spinal deformity on pelvic orientation from standing to sitting position. J Arthroplasty. 2016;31(6):1222–7.
J. BD, Z. SC, M. ST, T. PC, R. KM, A. GM, et al. The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes. Orthopedics [Internet] 2017 May 1;40(3):e520–5. Available from:
https://doi.org/10.3928/01477447-20170327-03
Barry JJ, Hansen EN. The hip-spine relationship and its effect on total hip arthroplasty outcomes: What do the databases show? Semin Arthroplasty[Internet]2018;29(4):290–8.Availablefrom: https://www.sciencedirect.com /science/article/pii/S1045452719300495
Onggo JR, Nambiar M, Onggo JD, Phan K, Ambikaipalan A, Babazadeh S, et al. Comparable dislocation and revision rates for patients undergoing total hip arthroplasty with subsequent or prior lumbar spinal fusion: a metaanalysis and systematic review. Eur Spine J. 2021;30:63–70.
Barrey C, Jund J, Noseda O, Roussouly P. Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases. Eur Spine J. 2007;16(9):1459–67.
Mehta VA, Amin A, Omeis I, Gokaslan ZL, Gottfried ON. Implications of spinopelvic alignment for the spine surgeon. Neurosurgery. 2015;76(suppl_1):S42–56.
Vaz G, Roussouly P, Berthonnaud E, Dimnet J. Sagittal morphology and equilibrium of pelvis and spine. Eur spine J. 2002;11:80–7.
Charosky S, Guigui P, Blamoutier A, Roussouly P, Chopin D. Complications and risk factors of primary adult scoliosis surgery: a multicenter study of 306 patients. Spine (Phila Pa 1976). 2012;37(8):693–700.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
