Correlation analysis between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion
Correlation analysis between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion
复制标题
DOI：
10.1007/s00586-020-06316-8
复制
发表时间：
2020-01-31
影响因子：
2.8
通讯作者：
Yu, Miao
中科院分区：
文献类型：
--
作者：
Si, Gao;Li, Tong;Yu, Miao
目的探讨成人脊柱侧凸长段脊柱融合术后髋关节疼痛与脊柱-骨盆/髋关节参数的关系。方法回顾性分析2009年12月至2015年8月间行长节段脊柱融合术的成人脊柱侧凸患者。根据随访结束时是否报告髋关节疼痛，将患者分为疼痛组（PG）和对照组（CG）。PG 34例，CG 42例。采用视觉模拟量表评估PG患者术后髋关节疼痛。记录两组参数：术前和术后各一组。结果两组患者髋臼覆盖率和中心边缘角的变化差异有统计学意义（p < 0.05），而Tonnis角、Sharp髋臼角、颈轴角、腰椎前凸、骶骨坡度、骨盆发生率、骨盆倾斜、冠状垂直轴、矢状垂直轴、Cobb角的变化差异无统计学意义（p < 0.05）。PG手术前后髋臼覆盖率变化与LL手术前后髋臼覆盖率变化有显著相关性（p < 0.05）， CE角、Tonnis角变化与脊柱-骨盆参数变化无显著相关性（p < 0.05）。结论成人脊柱侧凸长节段脊柱融合术后髋部疼痛与髋臼覆盖范围和CE角变化显著相关，术后髋部疼痛患者髋臼覆盖范围变化与LL变化相关。这些幻灯片可以在电子补充材料[图形]下检索。
Purpose To explore the correlations between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion. Methods We retrospectively identified adult scoliosis patients who underwent long-segment spinal fusions between December 2009 and August 2015. The patients were divided into a pain group (PG) and a control group (CG) based on whether hip pain was reported at the end of follow-up. There were 34 cases in the PG and 42 in the CG. The visual analogue scale was employed to assess the postoperative hip pain in PG patients. Two sets of parameters were recorded: one before and one after the surgery. Results There were statistically significant differences in the variations in acetabular coverage and centre-edge (CE) angle between the two groups (p < 0.05), but there was no significant difference in the Tonnis angle, acetabular angle of Sharp, neck-shaft angle, lumbar lordosis (LL), sacral slope, pelvic incidence, pelvic tilt, coronal vertical axis, sagittal vertical axis or Cobb angle. The variation in acetabular coverage before and after operation in the PG was significantly correlated with that of LL (p < 0.05), while the changes in the CE angle and Tonnis angle were not significantly correlated with those in spino-pelvic parameters (p > 0.05). Conclusion Postoperative hip pain among adult scoliosis patients after long-segment spinal fusion is significantly associated with the variation in acetabular coverage and CE angle, and the change in acetabular coverage is correlated with that in LL for those who develop hip pain after the surgery. Graphic abstract These slides can be retrieved under Electronic Supplementary Material.[GRAPHICS].