Spinopelvic fusion surgery from lower thoracic spine to pelvis increased hip joint moment-motion analysis.
Spinopelvic fusion surgery from lower thoracic spine to pelvis increased hip joint moment-motion analysis.
复制标题
DOI：
10.1007/s00586-022-07483-6
复制
发表时间：
2023-02
影响因子：
2.8
通讯作者：
Yamada, Hiroshi
中科院分区：
文献类型：
--
作者：
Kozaki, Takuhei;Hashizume, Hiroshi;Oka, Hiroyuki;Katsuhira, Junji;Kawabata, Koichi;Takashi, Mana;Iwasaki, Hiroshi;Tsutsui, Shunji;Takami, Masanari;Nagata, Keiji;Ishimoto, Yuyu;Taniguchi, Takaya;Nishiyama, Daisuke;Fukui, Daisuke;Yamanaka, Manabu;Taiji, Ryo;Murata, Shizumasa;Matsuyama, Yuki;Noda, Yusuke;Kozaki, Takahiro;Tajima, Fumihiro;Yamada, Hiroshi
关键词：
脊柱融合手术通常与骨盆固定一起进行，以防止远端交界性后凸。在一项影像学随访研究中，据报告，纳入脊柱骨盆固定会导致髋关节病进展。然而，其生物力学机制尚未阐明。本研究旨在比较脊柱融合手术前后髋关节力矩的变化。 本研究是一项观察性研究，纳入了9名计划接受脊柱骨盆融合术的患者（8名女性和1名男性）。我们计算了术前和术后1年步态、站立和爬楼梯时髋关节的三维外关节力矩。在步态中，脊柱骨盆融合术前后的最大伸展力矩分别为0.51 ± 0.29和0.63 ± 0.40（p = 0.011），手术前后的最大外展力矩分别为0.60 ± 0.33和0.83 ± 0.34（p = 0.004）。站立时，脊柱骨盆融合术前后最大伸展力矩分别为0.76 ± 0.32和1.04 ± 0.21（p = 0.0026），手术前后最大外展力矩分别为0.12 ± 0.20和0.36 ± 0.22（p = 0.0005）。在爬楼梯过程中，脊柱骨盆融合术前后的最大伸展力矩分别为− 0.31 ± 0.30和− 0.48 ± 0.15（p = 0.040），手术前后的最大外展力矩分别为0.023 ± 0.18和− 0.02 ± 0.13（p = 0.038）。这项研究表明，髋关节屈曲伸展和外展内收力矩增加脊柱骨盆固定手术后，在站立，行走和爬楼梯的姿势。其机制被认为是脊柱骨盆融合术（包括骶髂关节固定）后的相邻关节疾病。
Spinal fusion surgery is often performed with pelvic fixation to prevent distal junctional kyphosis. The inclusion of spinopelvic fixation has been reported to induce progression of hip joint arthropathy in a radiographic follow-up study. However, its biomechanical mechanism has not yet been elucidated. This study aimed to compare the changes in hip joint moment before and after spinal fusion surgery. This study was an observational study and included nine patients (eight women and one man) who were scheduled to undergo spinopelvic fusion surgery. We calculated the three-dimensional external joint moments of the hip during gait, standing, and climbing stairs before and 1 year after surgery. During gait, the maximum extension moment was 0.51 ± 0.29 and 0.63 ± 0.40 before and after spinopelvic fusion surgery (p = 0.011), and maximum abduction moment was 0.60 ± 0.33 and 0.83 ± 0.34 before and after surgery (p = 0.004), respectively. During standing, maximum extension moment was 0.76 ± 0.32 and 1.04 ± 0.21 before and after spinopelvic fusion surgery (p = 0.0026), and maximum abduction moment was 0.12 ± 0.20 and 0.36 ± 0.22 before and after surgery (p = 0.0005), respectively. During climbing stairs, maximum extension moment was − 0.31 ± 0.30 and − 0.48 ± 0.15 before and after spinopelvic fusion surgery (p = 0.040), and maximum abduction moment was 0.023 ± 0.18 and − 0.02 ± 0.13 before and after surgery (p = 0.038), respectively. This study revealed that hip joint flexion–extension and abduction–adduction moments increased after spinopelvic fixation surgery in the postures of standing, walking, and climbing stairs. The mechanism was considered to be adjacent joint disease after spinopelvic fusion surgery including sacroiliac joint fixation.
登录
查看更多内容
影响因子：
3
作者：
Yagi, Mitsuru;King, Akilah B.;Boachie-Adjei, Oheneba
通讯作者：
Boachie-Adjei, Oheneba
影响因子：
2.8
作者：
Si, Gao;Li, Tong;Yu, Miao
通讯作者：
Yu, Miao
影响因子：
1.8
作者：
Kito, Nobuhiro;Shinkoda, Koichi;Moriyama, Hideki
通讯作者：
Moriyama, Hideki
影响因子：
3
作者：
Untch, C;Liu, Q;Hart, R
通讯作者：
Hart, R
影响因子：
1.2
作者：
通讯作者：
--