Relationship between hip joint proximity area and sagittal balance parameters: an upright computed tomography study

Relationship between hip joint proximity area and sagittal balance parameters: an upright computed tomography study
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髋关节邻近区域与矢状平衡参数之间的关系:直立计算机断层扫描研究

DOI:
10.1007/s00586-020-06664-5
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发表时间:
2022
影响因子:
2.8
通讯作者:
Jinzaki Masahiro
Jinzaki Masahiro
中科院分区:
医学3区
文献类型:
--
作者:
Kikuchi Shunsuke;Nakashima Daisuke;Yamada Yoshitake;Yamada Minoru;Yokoyama Yoichi;Kanaji Arihiko;Nakamura Masaya;Nagura Takeo;Jinzaki Masahiro

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目的脊柱矢状面排列与髋关节骨关节炎(OA)之间的密切关系已被证实。本研究旨在探讨髋关节邻近区域和矢状面的平衡参数之间的关系在healthy subjects.MethodsThis前瞻性研究招募了47名健康志愿者谁接受了320-detector行直立式计算机断层扫描。采集的数据在虚拟三维空间中重建。通过髋臼和股骨头之间< 1 mm的Hausdorff距离确定邻近区域。根据最近区域的位置,将志愿者分为前邻近组和后邻近组。骶椎平衡参数[矢状垂直轴(SVA)、T1脊柱骨盆倾斜度(T1-SPi)、T1骨盆角、骨盆倾斜度、骶骨倾斜度、骨盆倾角、腰椎前凸、胸椎后凸)、听道中心(CAM)与C7铅垂线之间的偏移距离(CAM-C7-偏移),以及CAM和髋关节轴(HA)之间的偏移距离(CAM-HA-offset)]进行独立样本检验。结果前邻组(n= 24)的SVA明显高于前邻组(n= 24(p= 0.016)和T1-Spi(p= 0.015)优于后邻近组(n= 23)。CAM-HA偏移在后接近组中高于前接近组(p< 0.000)。结论前邻组脊柱前向平衡良好,后邻组重心线较髋关节中心偏后。脊柱前方平衡可能有助于髋关节的前方负荷,与髋关节OA的发生和发作有已知的关系。
PurposeA close relationship between sagittal spinal alignment and hip osteoarthritis (OA) has been documented. This study aimed to examine the relationship between hip joint proximity area and sagittal balance parameters in healthy subjects.MethodsThis prospective study enrolled 47 healthy volunteers who underwent 320-detector row upright computed tomography. Acquired data were reconstructed in a virtual three-dimensional space. The proximity area was determined by < 1 mm of the Hausdorff distance between the acetabulum and the femoral head. Volunteers were divided into the anterior and posterior proximity groups depending on the position of the closest area. Sagittal balance parameters [sagittal vertical axis (SVA), T1 spinopelvic inclination (T1-SPi), T1-pelvic angle, pelvic tilt, sacral slope, pelvic incidence, lumbar lordosis, thoracic kyphosis), offset distance between the centre of the acoustic meati (CAM) and C7 plumb line (CAM-C7-offset), and offset distance between the CAM and hip axis (HA) (CAM-HA-offset)] were compared between the two groups using independent samplettest.ResultsThe anterior proximity group (n= 24) had higher SVA (p= 0.016) and T1-Spi (p= 0.015) than the posterior proximity group (n= 23). CAM-HA-offset was higher in the posterior than in the anterior proximity group (p< 0.000). There was no difference in other parameters (p> 0.05).ConclusionThe anterior proximity group had a positive anterior spinal balance; the posterior proximity group may have a more posterior gravity line than the hip joint centre. The anterior spinal balance may contribute to the anterior loading of the hip joint, with known relation with the initiation and onset of hip OA.
DOI: 10.1016/j.clinbiomech.2014.11.010
发表时间: 2015-02-01
影响因子: 1.8
作者:
Bendaya, S.;Lazennec, J. Y.;Skalli, W.
通讯作者: Skalli, W.
DOI: 10.1007/s00586-014-3700-5
发表时间: 2015-06-01
影响因子: 2.8
作者:
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通讯作者: Qiu, Yong
DOI: 10.1016/j.mehy.2017.05.035
发表时间: 2017-07-01
期刊: MEDICAL HYPOTHESES
影响因子: 4.7
作者:
Eijer, Henk;Hogervorst, Tom
通讯作者: Hogervorst, Tom
DOI: 10.1007/s11999-007-0060-z
发表时间: 2008-02-01
影响因子: 4.2
作者:
Ganz, Reinhold;Leunig, Michael;Harris, William H.
通讯作者: Harris, William H.
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DOI: --
发表时间: 2022
期刊:
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