The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.
Journal Article (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
Electronic International Standard Serial Number (EISSN)
- 1558-1373
Digital Object Identifier (DOI)
- 10.1016/j.ocl.2015.08.005
Language
- eng
Conference Location
- United States