Scholarlink

Introduction <p>This study aimed to evaluate the association between coronal pelvic and sagittal spinal radiographic parameters and the rapid progression of hip arthrosis (RPHA).</p> Materials and methods <p>In this retrospective case–control study, 92 patients (92 hips) who underwent hip arthroplasty were analysed. RPHA was defined as ≥ two millimeters of femoral head collapse or ≥ 50% narrowing of the hip joint space within 12 months. Patients were classified into two groups: the study group (<i>n</i> = 29) and the control group (<i>n</i> = 63), which comprised patients without RPHA during a minimum follow-up period of 12 months before the operation. Linear regression and receiver operating characteristic (ROC) curve analyses were performed to identify radiographic predictors of RPHA.</p> Results <p>RPHA was significantly associated with lumbar lordosis (<i>p</i> = 0.001), pelvic tilt (<i>p</i> = 0.012), sacro-femoral-pubic angle (SFP; <i>p</i> = 0.003), and T1 pelvic angle (<i>p</i> &lt; 0.001). The predictive accuracy of SFP, based on the area under the ROC curve, was statistically comparable to that of established sagittal alignment parameters (<i>p</i> &gt; 0.05). Patients with SFP &lt; 62° had a significantly higher prevalence of RPHA than those with SFP ≥ 62° (<i>p</i> = 0.007).</p> Conclusions <p>SFP, measurable from standard anteroposterior pelvic radiographs, may represent a simple and practical alternative to sagittal spinopelvic parameters for identifying radiographic features associated with RPHA.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A simple radiographic predictor for rapid progression of hip arthrosis: the sacro-femoral-pubic angle in the coronal plane

  • 期刊论文

  • 发表日期：

    2025年11月21日

查看全文
  • Takafumi Saika,
  • Yoshinori Okamoto,
  • Hitoshi Wakama,
  • Kuniaki Ikeda,
  • Takashi Ishitani,
  • Kengo Tani,
  • Shuhei Otsuki

摘要

Introduction

This study aimed to evaluate the association between coronal pelvic and sagittal spinal radiographic parameters and the rapid progression of hip arthrosis (RPHA).

Materials and methods

In this retrospective case–control study, 92 patients (92 hips) who underwent hip arthroplasty were analysed. RPHA was defined as ≥ two millimeters of femoral head collapse or ≥ 50% narrowing of the hip joint space within 12 months. Patients were classified into two groups: the study group (n = 29) and the control group (n = 63), which comprised patients without RPHA during a minimum follow-up period of 12 months before the operation. Linear regression and receiver operating characteristic (ROC) curve analyses were performed to identify radiographic predictors of RPHA.

Results

RPHA was significantly associated with lumbar lordosis (p = 0.001), pelvic tilt (p = 0.012), sacro-femoral-pubic angle (SFP; p = 0.003), and T1 pelvic angle (p < 0.001). The predictive accuracy of SFP, based on the area under the ROC curve, was statistically comparable to that of established sagittal alignment parameters (p > 0.05). Patients with SFP < 62° had a significantly higher prevalence of RPHA than those with SFP ≥ 62° (p = 0.007).

Conclusions

SFP, measurable from standard anteroposterior pelvic radiographs, may represent a simple and practical alternative to sagittal spinopelvic parameters for identifying radiographic features associated with RPHA.