FEATURES OF SAGITTAL SPINO-PELVIC RELATIONS IN PATIENTS WITH HIP-SPINE SYNDROME
https://doi.org/10.14531/ss2012.4.49-54
Abstract
Objective. To analyze principal parameters of sagittal spinopelvic relations in patients with hip-spine syndrome.
Material and Methods. Clinical examination protocols and X-ray images of 42 patients with unilateral or bilateral grade 3 hip arthrosis and vertebrogenic pain syndrome were analyzed. Four principal sagittal parameters of spino-pelvic balance were measured, statistically processed, and compared with normal values.
Results. The positive correlation was found between the sacral slope and the lumbar lordosis. Normal spino-pelvic relations were noted in 6 (14.3 %) cases, an excessive anteversion of the pelvis with compensatory hyperlordosis – in 34 (81.0 %), and retroversion of the pelvis with flattening of the lumbar lordosis – in 2 (4.7 %) cases.
Conclusion. Changes in hip joints cause compensatory responses of the spine. Unilateral or bilateral hip joint arthrosis in most cases leads to excessive anteversion of the pelvis and hyperlordosis of the lumber spine with overloading of its segments. Another variant of compensatory posture is retroversion of the pelvis with a loss of lumbar lordosis. Both types of compensatory vertical posture are associated with vertebrogenic pain syndrome and degenerative-dystrophic changes in the spine.
About the Authors
Vyacheslav Arkadyevich Averkiev
Military Medical Academy n.a. S.M. Kirov, St. Petersburg
Russian Federation
Russian Federation
Aleksey Leonidovich Kudyashev
Military Medical Academy n.a. S.M. Kirov, St. Petersburg
Russian Federation
Russian Federation
Vasily Alekseyevich Artyukh
Military Medical Academy n.a. S.M. Kirov, St. Petersburg
Russian Federation
Russian Federation
Konstantin Alekseyevich Nadulich
Military Medical Academy n.a. S.M. Kirov, St. Petersburg
Russian Federation
Russian Federation
Andrey Vasilyevich Teremshonok
Military Medical Academy n.a. S.M. Kirov, St. Petersburg
Russian Federation
Russian Federation
Evgeny Borisovich Nagorny
Military Medical Academy n.a. S.M. Kirov, St. Petersburg
Russian Federation
Russian Federation
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Review
For citations:
Averkiev V.A., Kudyashev A.L., Artyukh V.A., Nadulich K.A., Teremshonok A.V., Nagorny E.B. FEATURES OF SAGITTAL SPINO-PELVIC RELATIONS IN PATIENTS WITH HIP-SPINE SYNDROME. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2012;(4):49-54. (In Russ.) https://doi.org/10.14531/ss2012.4.49-54
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