Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis
Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis
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DOI：
10.4184/asj.2018.12.2.325
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发表时间：
2018-04-01
影响因子：
2.3
通讯作者：
Ohtori, Seiji
中科院分区：
文献类型：
--
作者：
Eguchi, Yawara;Iida, Satoshi;Ohtori, Seiji
研究设计：回顾性观察研究。目的：我们检查了严重髋关节骨关节炎（OA）患者全髋关节置换术（THA）后腰骶脊柱对准和腰痛（LBP）的变化。文献综述：据报道，严重髋关节骨关节炎会导致脊柱对准异常和腰痛，据报道，THA后腰痛得到改善。方法：我们的目标人群包括30例接受直接前路THA的髋关节OA患者（29例女性，平均年龄63.5岁）。双侧髋关节病变12例，单侧骨性关节炎18例。术前和术后评估LBP和髋痛的视觉模拟量表（VAS）评分、Roland-Morris功能障碍问卷（RDQ）和日本骨科协会背痛评估问卷（JOABPEQ）。结果：VAS评分从术前到术后末次观察，LBP变化显著改善（P
Study Design: Retrospective observational study.Purpose: We examined change in lumbrosacral spine alignment and low back pain (LBP) following total hip arthroplasty (THA) in patients with severe hip osteoarthritis (OA).Overview of Literature: Severe hip osteoarthritis has been reported to cause spine alignment abnormalities and low back pain, and it has been reported that low back pain is improved following THA.Methods: Our target population included 30 patients (29 female, mean age 63.5 years) with hip OA who underwent direct anterior approach THA. There were 12 cases with bilateral hip disease and 18 cases with unilateral osteoarthritis. Visual analogue scale (VAS) scores for LBP and coxalgia, the Roland-Morris Disability Questionnaire (RDQ), and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were assessed before and after surgery. Spinal alignment metrics were measured before and after surgery.Results: VAS for LBP change from preoperative to final postoperative observation was significantly improved (p