ВЛИЯНИЕ САГИТТАЛЬНОГО БАЛАНСА ВЕРТЕБРО-ПЕЛЬВИ-ФЕМОРАЛЬНОГО КОМПЛЕКСА НА ПОЛОЖЕНИЕ ЧАШКИ ПРИ ТОТАЛЬНОМ ЭНДОПРОТЕЗИРОВАНИИ ТАЗОБЕДРЕННОГО СУСТАВА
Обзорная статья
Дата публикации: декабря 6, 2022
Ключевые слова
эндопротезирования
саггитальный баланс
вертебро-пельви-феморальная мобильность
саггитальный баланс
вертебро-пельви-феморальная мобильность
Как цитировать
Хохлов И. В., Смышляев И. А., Рогощенкова А. В., Гази Й. Х., Гильфанов С. И. ВЛИЯНИЕ САГИТТАЛЬНОГО БАЛАНСА ВЕРТЕБРО-ПЕЛЬВИ-ФЕМОРАЛЬНОГО КОМПЛЕКСА НА ПОЛОЖЕНИЕ ЧАШКИ ПРИ ТОТАЛЬНОМ ЭНДОПРОТЕЗИРОВАНИИ ТАЗОБЕДРЕННОГО СУСТАВА // КРЕМЛЕВСКАЯ МЕДИЦИНА<br><i>клинический вестник</i>. 2022. Т. № 3. С. 99-106.
Аннотация
В данной работе проведен обзор литературы по вопросам сагиттального баланса вертебро-пельви-феморального (ВПФ) комплекса при эндопротезировании тазобедренного сустава, даны рекомендации по использованию терминологии, обобщены различные классификации ВПФ мобильности и описаны соответствующие им алгоритмы лечения. При нарушении сагиттального баланса ВПФ комплекса увеличивается частота вывихов эндопротеза, снижается качество жизни, функциональный результат и удовлетворенность результатами лечения. Существует два основных типа нарушения биомеханики поясничного отдела позвоночника и таза - ригидность и гипермобильность. При установке чашки необходимо стремиться к безопасной функциональной зоне (БФЗ), которую подбирают ориентируясь на сагиттальный баланс.Литература
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2. Dargel J. et al. Dislocation following total hip replacement //Deutsches Ärzteblatt International. – 2014. – V. 111. – №. 51-52. – P. 884. doi: 10.3238/arztebl.2014.0884
3. Heckmann N. et al. Late dislocation following total hip arthroplasty: spinopelvic imbalance as a causative factor //JBJS. – 2018. – V. 100. – №. 21. – P. 1845-1853. doi: 10.2106/JBJS.18.00078
4. Malkani A. L. et al. Total hip arthroplasty in patients with previous lumbar fusion surgery: are there more dislocations and revisions? //The Journal of Arthroplasty. – 2018. – V. 33. – №. 4. – P. 1189-1193. doi: 10.1016/j.arth.2017.10.041
5. Sultan A. A. et al. The impact of spino-pelvic alignment on total hip arthroplasty outcomes: a critical analysis of current evidence //The Journal of arthroplasty. – 2018. – V. 33. – №. 5. – P. 1606-1616. doi: 10.1016/j.arth.2017.11.021
6. An V. V. G. et al. Prior lumbar spinal fusion is associated with an increased risk of dislocation and revision in total hip arthroplasty: a meta-analysis //The Journal of Arthroplasty. – 2018. – V. 33. – №. 1. – P. 297-300. doi: 10.1016/j.arth.2017.08.040
7. Gausden E. B. et al. Risk factors for early dislocation following primary elective total hip arthroplasty //The Journal of arthroplasty. – 2018. – V. 33. – №. 5. – P. 1567-1571. e2. doi: 10.1016/j.arth.2017.12.034
8. Nam D. et al. The impact of total hip arthroplasty on pelvic motion and functional component position is highly variable //The Journal of Arthroplasty. – 2017. – V. 32. – №. 4. – P. 1200-1205. doi: 10.1016/j.arth.2016.11.008
9. Maratt J. D. et al. Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter? //The Journal of arthroplasty. – 2015. – V. 30. – №. 3. – P. 387-391. doi: 10.1016/j.arth.2014.10.014
10. Cho Y. J. et al. Recurrent hip dislocation following total hip arthroplasty: treatment with sagittal spinal deformity correction: a case report //JBJS Case Connector. – 2017. – V. 7. – №. 1. – P. e14. doi: 10.2106/JBJS.CC.16.00144
11. Ochi H. et al. Importance of the spinopelvic factors on the pelvic inclination from standing to sitting before total hip arthroplasty //European Spine Journal. – 2016. – V. 25. – №. 11. – P. 3699-3706. doi: 10.1007/s00586-015-4217-2
12. Ike H. et al. Spine-pelvis-hip relationship in the functioning of a total hip replacement //JBJS. – 2018. – V. 100. – №. 18. – P. 1606-1615. doi: 10.2106/JBJS.17.00403
13. Husson J. L. et al. The lumbar-pelvic-femoral complex: applications in hip pathology //Orthopaedics & Traumatology: Surgery & Research. – 2010. – V. 96. – №. 4. – P. S10-S16. doi: 10.1016/j.otsr.2010.03.007
14. Innmann M. M. et al. Can spinopelvic mobility be predicted in patients awaiting total hip arthroplasty? A prospective, diagnostic study of patients with end-stage hip osteoarthritis //The bone & joint journal. – 2019. – V. 101. – №. 8. – P. 902-909. doi: 10.1302/0301-620X.101B8.BJJ-2019-0106.R1
15. Lazennec J. Y., Brusson A., Rousseau M. A. Lumbar-pelvic-femoral balance on sitting and standing lateral radiographs //Orthopaedics & Traumatology: Surgery & Research. – 2013. – V. 99. – №. 1. – P. S87-S103. doi: 10.1016/j.otsr.2012.12.003
16. Vrtovec T. et al. A review of methods for evaluating the quantitative parameters of sagittal pelvic alignment //The Spine Journal. – 2012. – V. 12. – №. 5. – P. 433-446. doi: 10.1016/j.spinee.2012.02.013
17. Ali Khan M. A., Brakenbury P. H., Reynolds I. S. Dislocation following total hip replacement //The Journal of bone and joint surgery. British volume. – 1981. – V. 63. – №. 2. – P. 214-218. doi: 10.1302/0301-620X.63B2.7217144
18. Attenello J. D., Harpstrite J. K. Implications of spinopelvic mobility on total hip arthroplasty: review of current literature //Hawai'i Journal of Health & Social Welfare. – 2019. – V. 78. – №. 11 Suppl 2. – P. 31.
19. Schwab F. et al. Sagittal plane considerations and the pelvis in the adult patient //Spine. – 2009. – V. 34. – №. 17. – P. 1828-1833. doi: 10.1097/BRS.0b013e3181a13c08
20. Wan Z. et al. Imaging and navigation measurement of acetabular component position in THA //Clinical orthopaedics and related research. – 2009. – V. 467. – №. 1. – P. 32-42. doi: 10.1007/s11999-008-0597-5
21. Schwab F. J. et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis //Spine. – 2013. – V. 38. – №. 13. – P. E803-E812. doi: 10.1097/BRS.0b013e318292b7b9
22. Grammatopoulos G. et al. Integrating the combined sagittal index reduces the risk of dislocation following total hip replacement //JBJS. – 2022. – V. 104. – №. 5. – P. 397-411. doi: 10.2106/JBJS.21.00432
23. Homma Y. et al. Pelvic mobility before and after total hip arthroplasty //International Orthopaedics. – 2020. – V. 44. – №. 11. – P. 2267-2274. doi: 10.1007/s00264-020-04688-6
24. Legaye J. et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves //European Spine Journal. – 1998. – V. 7. – №. 2. – P. 99-103. doi: 10.1007/s005860050038
25. Ishida T. et al. Changes in pelvic tilt following total hip arthroplasty //Journal of Orthopaedic Science. – 2011. – V. 16. – №. 6. – P. 682-688. doi: 10.1007/s00776-011-0153-0
26. Ala Eddine T. et al. Variations of pelvic anteversion in the lying and standing positions analysis of 24 control subjects and implications for CT measurement of position of a prosthetic cup //Surgical and Radiologic Anatomy. – 2001. – V. 23. – №. 2. – P. 105-110. doi: 10.1007/s00276-001-0105-z
27. Stefl M. et al. Spinopelvic mobility and acetabular component position for total hip arthroplasty //The Bone & Joint Journal. – 2017. – V. 99. – №. 1_Supple_A. – P. 37-45. doi: 10.1302/0301-620X.99B1.BJJ-2016-0415.R1
28. Phan D., Bederman S. S., Schwarzkopf R. The influence of sagittal spinal deformity on anteversion of the acetabular component in total hip arthroplasty //The bone & joint journal. – 2015. – V. 97. – №. 8. – P. 1017-1023. doi: 10.1302/0301-620X.97B8.35700
29. Barrey C. et al. Compensatory mechanisms contributing to keep the sagittal balance of the spine //European Spine Journal. – 2013. – V. 22. – №. 6. – P. 834-841. doi: 10.1007/s00586-013-3030-z
30. Esposito C. I. et al. Does degenerative lumbar spine disease influence femoroacetabular flexion in patients undergoing total hip arthroplasty? //Clinical Orthopaedics and Related Research®. – 2016. – V. 474. – №. 8. – P. 1788-1797. doi: 10.1007/s11999-016-4787-2
31. Lewinnek G. E. et al. Dislocations after total hip-replacement arthroplasties //J Bone Joint Surg Am. – 1978. – V. 60. – №. 2. – P. 217-220.
32. Tezuka T. et al. Functional safe zone is superior to the Lewinnek safe zone for total hip arthroplasty: why the Lewinnek safe zone is not always predictive of stability //The Journal of arthroplasty. – 2019. – V. 34. – №. 1. – P. 3-8. doi: 10.1016/j.arth.2018.10.034
33. Abdel M. P. et al. What safe zone? The vast majority of dislocated THAs are within the Lewinnek safe zone for acetabular component position //Clinical Orthopaedics and Related Research®. – 2016. – V. 474. – №. 2. – P. 386-391. doi: 10.1007/s11999-015-4432-5
34. Lazennec J. Y. et al. Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning //Surgical and Radiologic Anatomy. – 2004. – V. 26. – №. 2. – P. 136-144. doi: 10.1007/s00276-003-0195-x
35. Luthringer T. A., Vigdorchik J. M. A preoperative workup of a “hip-spine” total hip arthroplasty patient: a simplified approach to a complex problem //The Journal of Arthroplasty. – 2019. – V. 34. – №. 7. – P. S57-S70. doi: 10.1016/j.arth.2019.01.012
36. Tannast M. et al. Estimation of pelvic tilt on anteroposterior X-rays—a comparison of six parameters //Skeletal radiology. – 2006. – V. 35. – №. 3. – P. 149-155. doi: 10.1007/s00256-005-0050-8
37. DelSole E. M. et al. Total hip arthroplasty in the spinal deformity population: does degree of sagittal deformity affect rates of safe zone placement, instability, or revision? //The Journal of arthroplasty. – 2017. – V. 32. – №. 6. – P. 1910-1917. doi: 10.1016/j.arth.2016.12.039
38. Kanawade V., Dorr L. D., Wan Z. Predictability of acetabular component angular change with postural shift from standing to sitting position //JBJS. – 2014. – V. 96. – №. 12. – P. 978-986. doi: 10.2106/JBJS.M.00765
39. Weng W. et al. The effect of total hip arthroplasty on sagittal spinal–pelvic–leg alignment and low back pain in patients with severe hip osteoarthritis //European Spine Journal. – 2016. – V. 25. – №. 11. – P. 3608-3614. doi: 10.1007/s00586-016-4444-1
2. Dargel J. et al. Dislocation following total hip replacement //Deutsches Ärzteblatt International. – 2014. – V. 111. – №. 51-52. – P. 884. doi: 10.3238/arztebl.2014.0884
3. Heckmann N. et al. Late dislocation following total hip arthroplasty: spinopelvic imbalance as a causative factor //JBJS. – 2018. – V. 100. – №. 21. – P. 1845-1853. doi: 10.2106/JBJS.18.00078
4. Malkani A. L. et al. Total hip arthroplasty in patients with previous lumbar fusion surgery: are there more dislocations and revisions? //The Journal of Arthroplasty. – 2018. – V. 33. – №. 4. – P. 1189-1193. doi: 10.1016/j.arth.2017.10.041
5. Sultan A. A. et al. The impact of spino-pelvic alignment on total hip arthroplasty outcomes: a critical analysis of current evidence //The Journal of arthroplasty. – 2018. – V. 33. – №. 5. – P. 1606-1616. doi: 10.1016/j.arth.2017.11.021
6. An V. V. G. et al. Prior lumbar spinal fusion is associated with an increased risk of dislocation and revision in total hip arthroplasty: a meta-analysis //The Journal of Arthroplasty. – 2018. – V. 33. – №. 1. – P. 297-300. doi: 10.1016/j.arth.2017.08.040
7. Gausden E. B. et al. Risk factors for early dislocation following primary elective total hip arthroplasty //The Journal of arthroplasty. – 2018. – V. 33. – №. 5. – P. 1567-1571. e2. doi: 10.1016/j.arth.2017.12.034
8. Nam D. et al. The impact of total hip arthroplasty on pelvic motion and functional component position is highly variable //The Journal of Arthroplasty. – 2017. – V. 32. – №. 4. – P. 1200-1205. doi: 10.1016/j.arth.2016.11.008
9. Maratt J. D. et al. Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter? //The Journal of arthroplasty. – 2015. – V. 30. – №. 3. – P. 387-391. doi: 10.1016/j.arth.2014.10.014
10. Cho Y. J. et al. Recurrent hip dislocation following total hip arthroplasty: treatment with sagittal spinal deformity correction: a case report //JBJS Case Connector. – 2017. – V. 7. – №. 1. – P. e14. doi: 10.2106/JBJS.CC.16.00144
11. Ochi H. et al. Importance of the spinopelvic factors on the pelvic inclination from standing to sitting before total hip arthroplasty //European Spine Journal. – 2016. – V. 25. – №. 11. – P. 3699-3706. doi: 10.1007/s00586-015-4217-2
12. Ike H. et al. Spine-pelvis-hip relationship in the functioning of a total hip replacement //JBJS. – 2018. – V. 100. – №. 18. – P. 1606-1615. doi: 10.2106/JBJS.17.00403
13. Husson J. L. et al. The lumbar-pelvic-femoral complex: applications in hip pathology //Orthopaedics & Traumatology: Surgery & Research. – 2010. – V. 96. – №. 4. – P. S10-S16. doi: 10.1016/j.otsr.2010.03.007
14. Innmann M. M. et al. Can spinopelvic mobility be predicted in patients awaiting total hip arthroplasty? A prospective, diagnostic study of patients with end-stage hip osteoarthritis //The bone & joint journal. – 2019. – V. 101. – №. 8. – P. 902-909. doi: 10.1302/0301-620X.101B8.BJJ-2019-0106.R1
15. Lazennec J. Y., Brusson A., Rousseau M. A. Lumbar-pelvic-femoral balance on sitting and standing lateral radiographs //Orthopaedics & Traumatology: Surgery & Research. – 2013. – V. 99. – №. 1. – P. S87-S103. doi: 10.1016/j.otsr.2012.12.003
16. Vrtovec T. et al. A review of methods for evaluating the quantitative parameters of sagittal pelvic alignment //The Spine Journal. – 2012. – V. 12. – №. 5. – P. 433-446. doi: 10.1016/j.spinee.2012.02.013
17. Ali Khan M. A., Brakenbury P. H., Reynolds I. S. Dislocation following total hip replacement //The Journal of bone and joint surgery. British volume. – 1981. – V. 63. – №. 2. – P. 214-218. doi: 10.1302/0301-620X.63B2.7217144
18. Attenello J. D., Harpstrite J. K. Implications of spinopelvic mobility on total hip arthroplasty: review of current literature //Hawai'i Journal of Health & Social Welfare. – 2019. – V. 78. – №. 11 Suppl 2. – P. 31.
19. Schwab F. et al. Sagittal plane considerations and the pelvis in the adult patient //Spine. – 2009. – V. 34. – №. 17. – P. 1828-1833. doi: 10.1097/BRS.0b013e3181a13c08
20. Wan Z. et al. Imaging and navigation measurement of acetabular component position in THA //Clinical orthopaedics and related research. – 2009. – V. 467. – №. 1. – P. 32-42. doi: 10.1007/s11999-008-0597-5
21. Schwab F. J. et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis //Spine. – 2013. – V. 38. – №. 13. – P. E803-E812. doi: 10.1097/BRS.0b013e318292b7b9
22. Grammatopoulos G. et al. Integrating the combined sagittal index reduces the risk of dislocation following total hip replacement //JBJS. – 2022. – V. 104. – №. 5. – P. 397-411. doi: 10.2106/JBJS.21.00432
23. Homma Y. et al. Pelvic mobility before and after total hip arthroplasty //International Orthopaedics. – 2020. – V. 44. – №. 11. – P. 2267-2274. doi: 10.1007/s00264-020-04688-6
24. Legaye J. et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves //European Spine Journal. – 1998. – V. 7. – №. 2. – P. 99-103. doi: 10.1007/s005860050038
25. Ishida T. et al. Changes in pelvic tilt following total hip arthroplasty //Journal of Orthopaedic Science. – 2011. – V. 16. – №. 6. – P. 682-688. doi: 10.1007/s00776-011-0153-0
26. Ala Eddine T. et al. Variations of pelvic anteversion in the lying and standing positions analysis of 24 control subjects and implications for CT measurement of position of a prosthetic cup //Surgical and Radiologic Anatomy. – 2001. – V. 23. – №. 2. – P. 105-110. doi: 10.1007/s00276-001-0105-z
27. Stefl M. et al. Spinopelvic mobility and acetabular component position for total hip arthroplasty //The Bone & Joint Journal. – 2017. – V. 99. – №. 1_Supple_A. – P. 37-45. doi: 10.1302/0301-620X.99B1.BJJ-2016-0415.R1
28. Phan D., Bederman S. S., Schwarzkopf R. The influence of sagittal spinal deformity on anteversion of the acetabular component in total hip arthroplasty //The bone & joint journal. – 2015. – V. 97. – №. 8. – P. 1017-1023. doi: 10.1302/0301-620X.97B8.35700
29. Barrey C. et al. Compensatory mechanisms contributing to keep the sagittal balance of the spine //European Spine Journal. – 2013. – V. 22. – №. 6. – P. 834-841. doi: 10.1007/s00586-013-3030-z
30. Esposito C. I. et al. Does degenerative lumbar spine disease influence femoroacetabular flexion in patients undergoing total hip arthroplasty? //Clinical Orthopaedics and Related Research®. – 2016. – V. 474. – №. 8. – P. 1788-1797. doi: 10.1007/s11999-016-4787-2
31. Lewinnek G. E. et al. Dislocations after total hip-replacement arthroplasties //J Bone Joint Surg Am. – 1978. – V. 60. – №. 2. – P. 217-220.
32. Tezuka T. et al. Functional safe zone is superior to the Lewinnek safe zone for total hip arthroplasty: why the Lewinnek safe zone is not always predictive of stability //The Journal of arthroplasty. – 2019. – V. 34. – №. 1. – P. 3-8. doi: 10.1016/j.arth.2018.10.034
33. Abdel M. P. et al. What safe zone? The vast majority of dislocated THAs are within the Lewinnek safe zone for acetabular component position //Clinical Orthopaedics and Related Research®. – 2016. – V. 474. – №. 2. – P. 386-391. doi: 10.1007/s11999-015-4432-5
34. Lazennec J. Y. et al. Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning //Surgical and Radiologic Anatomy. – 2004. – V. 26. – №. 2. – P. 136-144. doi: 10.1007/s00276-003-0195-x
35. Luthringer T. A., Vigdorchik J. M. A preoperative workup of a “hip-spine” total hip arthroplasty patient: a simplified approach to a complex problem //The Journal of Arthroplasty. – 2019. – V. 34. – №. 7. – P. S57-S70. doi: 10.1016/j.arth.2019.01.012
36. Tannast M. et al. Estimation of pelvic tilt on anteroposterior X-rays—a comparison of six parameters //Skeletal radiology. – 2006. – V. 35. – №. 3. – P. 149-155. doi: 10.1007/s00256-005-0050-8
37. DelSole E. M. et al. Total hip arthroplasty in the spinal deformity population: does degree of sagittal deformity affect rates of safe zone placement, instability, or revision? //The Journal of arthroplasty. – 2017. – V. 32. – №. 6. – P. 1910-1917. doi: 10.1016/j.arth.2016.12.039
38. Kanawade V., Dorr L. D., Wan Z. Predictability of acetabular component angular change with postural shift from standing to sitting position //JBJS. – 2014. – V. 96. – №. 12. – P. 978-986. doi: 10.2106/JBJS.M.00765
39. Weng W. et al. The effect of total hip arthroplasty on sagittal spinal–pelvic–leg alignment and low back pain in patients with severe hip osteoarthritis //European Spine Journal. – 2016. – V. 25. – №. 11. – P. 3608-3614. doi: 10.1007/s00586-016-4444-1