A challenge on Orthopedic Sciences: The Influence of Spinal Disease and Deformities on Total Hip Arthroplasty: A Review on Literature

Abstract

Background: Adult degenerative disorders of hip and spine are common. The recent studies inconsistently have<br />discussed about the influence of spinal disorders on total hip arthroplasty (THA). In this review, we discussed clearly<br />about these relationships and their effects on the most appropriate position of the acetabular component.<br />Methods: We searched on databases and evaluated the articles about spinopelvic parameters in patients with spinal<br />disorders who needed THA.<br />Results: The literature search showed a prevalence of 21.2 % to 60.4% of low back pain (LBP) in patients, who<br />are candidates for primary THA. The coexistence of degenerative disease of hip and spine or other diseases can<br />significantly alter spinopelvic alignment. Accordingly, pain management or any other treatment in these patients<br />requires proper understanding about the biomechanics of the hip and the spinal and their corresponding interactions.<br />In this review article, we discussed about these interactions and their effects on the most appropriate position of the<br />acetabular component.<br />Conclusion: We concluded that counseling sessions among patients, orthopedic surgeons and spine surgeons<br />can result in obtaining the best outcome for these individuals.<br />Level of evidence: I