T1 pelvic angle is associated with rapid progression of hip arthrosis
T1 pelvic angle is associated with rapid progression of hip arthrosis
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DOI：
10.1007/s00586-023-07580-0
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发表时间：
2023-02-17
影响因子：
2.8
通讯作者：
Neo，Masashi
中科院分区：
文献类型：
--
作者：
Nakamura，Kaito;Okamoto，Yoshinori;Neo，Masashi
PurposeTo评估全球脊柱排列不良和快速进展的髋关节arthrosis.MethodsThis是一个回顾性的病例对照研究，包括90例患者，贡献90髋，谁接受了半或全髋关节置换术在我们的机构之间的关联。为了进行分析，将髋关节分为快速进展组和非快速进展组，快速进展组定义为12个月内股骨头破坏≥ 2 mm或髋关节间隙丢失（n= 30），非快速进展组定义为12个月以上未观察到髋关节疾病进展（n= 60）。Logistic回归分析确定了预测快速进展的因素，与接收器工作特征曲线分析用于确认factors.ResultsSignificant组间差异被确定为以下参数：骨盆倾斜（P= 0.002，PT），矢状垂直轴（P= 0.002，SVA），和T1骨盆角（P< 0.001，TPA）。多因素Logistic回归分析显示，PT（P= 0.002）、SVA（P= 0.002）和TPA（P< 0.001）是髋关节炎快速进展的预测指标，TPA的曲线下面积大于PT（P= 0.035）。TPA可以帮助识别有髋关节病快速进展风险的患者，从而进行时间管理。
PurposeTo evaluate the association between global spinal malalignment and rapid progression of hip arthrosis.MethodsThis was a retrospective, case–control study including 90 patients, contributing 90 hips, who underwent hemi- or total hip arthroplasty at our institution. For analysis, hips were classified into a rapid progression group, defined as ≥ 2 mm destruction of the femoral head or loss of the hip joint space within a 12-month period (n= 30), and a non-rapid progression group, defined by no observable hip disease progression over a period more than 12 months (n= 60). Logistic regression analysis identified factors that predicted rapid progression, with a receiver operating characteristic curve analysis used to confirm factors.ResultsSignificant between-group differences were identified for the following parameters: pelvic tilt (P= 0.002, PT), sagittal vertical axis (P= 0.002, SVA), and T1 pelvic angle (P< 0.001, TPA). On multiple logistic regression, PT (P= 0.002), SVA (P= 0.002), and TPA (P< 0.001) were predictive of a rapid progression on hip arthrosis, with the area under the curve being greater for TPA than PT (P= 0.035).ConclusionGlobal spinal alignment is associated with rapid progression of hip arthrosis. TPA could assist in identifying patients at risk for rapid progression of hip arthrosis, allowing for time management.