Keywords:
Musculoskeletal spine, Digital radiography, Diagnostic procedure, Arthritides
Authors:
A. Drago1, M. D'addato2, V. Alberotanza2, M. Carbone2, L. Gabrieli2, C. Campagna2, V. Favia2, A. A. Stabile Ianora2, G. Angelelli2; 1Molfetta/IT, 2Bari/IT
DOI:
10.1594/ecr2018/C-0636
Conclusion
The clinical interest about the interdependence between the spine and the pelvis is progressively increased over the last few years.
However,
contrasting findings have been reported in different studies,
so the mechanism for hip-spine syndrome remains still unclear.
In our experience,
spinopelvic misalignment was observed in patients suffering of severe unilateral HOA and LBP compared to non symptomatic patients.
According to us,
it reflects an antalgic posture developed by the patients to keep the spine as vertical as possible,
as it was not related to spine structural pathologies that had not been found during the radiological investigation.
After THR,
a significant increase of PT and a significant reduction of SS,
LL,
TK,
and TPA were recorded,
with a meaningful improvement not only of the spinopelvic parameters but even of the clinical symptoms among the patients of the first group,
suggesting a significant correlation between spinopelvic alignment and LBP in patients with concomitant HOA.