Spinopelvic Alignment and Low Back Pain before and after Total Knee Arthroplasty.
Spinopelvic Alignment and Low Back Pain before and after Total Knee Arthroplasty.
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全膝关节置换术前后脊柱骨盆走向与下腰痛的关系。
DOI：
10.31616/asj.2019.0359
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发表时间：
2021-03
影响因子：
2.3
通讯作者：
Hashimoto Y
中科院分区：
文献类型：
--
作者：
Kitagawa A;Yamamoto J;Toda M;Hashimoto Y
前瞻性队列研究。本研究旨在检查全膝关节置换术（TKA）消除膝关节屈曲挛缩后脊柱骨盆对线、矢状面整体平衡和腰痛（LBP）的变化。膝关节伸展受限与腰椎前凸（LL）减少相关。目前，尚无研究评价TKA前后的脊柱骨盆对线和LBP。使用全脊柱X线片对110例受试者的骶髂脊髓骨盆对线进行了评价。本研究中测量的参数包括矢状垂直轴（SVA）、LL、骶骨倾斜度（SS）、骨盆倾斜度（PT）和骨盆倾斜度（PI）。根据脊柱侧凸研究协会-Schwab成人脊柱畸形（ASD）分类评估矢状面修正等级的分布。因此，获得了与LBP相关的个人病史，并研究了术前和术后LBP与脊柱骨盆对齐的相关性。术前，66%的受试者显示LBP，大多数受试者表现出与LL减少和膝关节屈曲挛缩相关的前移整体平衡，膝关节重度屈曲挛缩的受试者表现出更多的前移整体平衡，PT向后，LL减少。TKA后，大多数病例的膝关节屈曲挛缩消失，三分之一的受试者LBP下降。SVA增加较多，PT轻度下降，SS增加。LL和PI的术前和术后值之间无显著差异。此外，有和没有减轻LBP的受试者之间的脊髓骨盆参数的术后值没有显着差异。尽管三分之一的受试者在TKA后出现LBP降低，但通过消除膝关节屈曲挛缩，矢状面整体不平衡并未恢复。
Prospective cohort study. This study aims to examine changes in spinopelvic alignment, sagittal global balance, and low back pain (LBP) following the removal of knee flexion contracture by total knee arthroplasty (TKA). The limitation of the knee extension was correlated with the decrease in lumbar lordosis (LL). Currently, there are no studies evaluating the spinopelvic alignment and LBP before and after TKAs. Sagittal spinopelvic alignment was evaluated in 110 subjects using radiographs of the whole spine. Parameters measured in this study included sagittal vertical axis (SVA), LL, sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI). The distribution of sagittal plane modifier grade was evaluated according to the Scoliosis Research Society-Schwab classification of adult spinal deformity (ASD). Consequently, personal history related to LBP was obtained, and the association of pre- and postoperative LBP and spinopelvic alignment was investigated. Preoperatively, 66% of all subjects showed LBP and mostly exhibited anteriorly shifted global imbalance associated with a decrease in LL and knee flexion contractures, and the subject who had severe flexion contracture of the knee joint showed more forwardly shifted global balance with backward PT and decrease in LL. After TKAs, the knee flexion contractures were eliminated in most cases, and one-third of subjects experienced decrease in LBP. However, SVA increased more and associated with slight decrease of PT and increase of SS. No significant differences were confirmed between pre- and postoperative values of LL and PI. In addition, there were no significant differences in postoperative values of spinopelvic parameters between subjects with and without relieved LBP. Although one-third of subjects experienced decrease of LBP after TKAs, the sagittal global imbalance was not restored through the removal of knee flexion contracture.
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影响因子：
3.7
作者：
Asai Y;Tsutsui S;Oka H;Yoshimura N;Hashizume H;Yamada H;Akune T;Muraki S;Matsudaira K;Kawaguchi H;Nakamura K;Tanaka S;Yoshida M
通讯作者：
Yoshida M
影响因子：
2.8
作者：
Barrey, Cedric;Roussouly, Pierre;Perrin, Gilles
通讯作者：
Perrin, Gilles
DOI：
10.1007/s00776-003-0679-x
发表时间：
2003-01-01
期刊：
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
影响因子：
--
作者：
Suzukamo, Yoshimi;Fukuhara, Shunichi;Nakamura, Takashi
通讯作者：
Nakamura, Takashi
影响因子：
3
作者：
Glassman, SD;Bridwell, K;Schwab, F
通讯作者：
Schwab, F
影响因子：
3
作者：
Schwab, Frank;Ungar, Benjamin;Lafage, Virginie
通讯作者：
Lafage, Virginie