The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.

Published

Journal Article (Review)

Concurrent spine and hip disease is common. Spinal deformities can restrict lumbar range of motion and lumbar lordosis, leading to pelvic obliquity and increased pelvic tilt. A comprehensive preoperative workup and component templating ensure appropriate compensation for altered pelvic parameters for implantation of components according to functional positioning. Pelvic obliquity from scoliosis must be measured to calculate appropriate leg length. Cup positioning should be templated on standing radiograph to limit impingement from cup malposition. In spinal deformity, the optimal position of the cup that accommodates pelvic parameters and limits impingement may lie outside the classic parameters of the safe zone.

Full Text

Duke Authors

Cited Authors

  • Blizzard, DJ; Nickel, BT; Seyler, TM; Bolognesi, MP

Published Date

  • January 2016

Published In

Volume / Issue

  • 47 / 1

Start / End Page

  • 19 - 28

PubMed ID

  • 26614917

Pubmed Central ID

  • 26614917

Electronic International Standard Serial Number (EISSN)

  • 1558-1373

International Standard Serial Number (ISSN)

  • 0030-5898

Digital Object Identifier (DOI)

  • 10.1016/j.ocl.2015.08.005

Language

  • eng