A challenge on Orthopedic Sciences: The Influence of Spinal Disease and Deformities on Total Hip Arthroplasty: A Review on Literature



1 Department of Orthopedics, Rasool-e-akram Hospital, Iran University of Medical Science, Tehran, Iran

2 Department of Orthopedics, Baqiyatallah University of Medical Sciences, Tehran, IR Iran


Background: Adult degenerative disorders of hip and spine are common. The recent studies inconsistently have
discussed about the influence of spinal disorders on total hip arthroplasty (THA). In this review, we discussed clearly
about these relationships and their effects on the most appropriate position of the acetabular component.
Methods: We searched on databases and evaluated the articles about spinopelvic parameters in patients with spinal
disorders who needed THA.
Results: The literature search showed a prevalence of 21.2 % to 60.4% of low back pain (LBP) in patients, who
are candidates for primary THA. The coexistence of degenerative disease of hip and spine or other diseases can
significantly alter spinopelvic alignment. Accordingly, pain management or any other treatment in these patients
requires proper understanding about the biomechanics of the hip and the spinal and their corresponding interactions.
In this review article, we discussed about these interactions and their effects on the most appropriate position of the
acetabular component.
Conclusion: We concluded that counseling sessions among patients, orthopedic surgeons and spine surgeons
can result in obtaining the best outcome for these individuals.
Level of evidence: I


Main Subjects

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