Relationship Between Pelvic Incidence and Osteoarthritis of the Hip

Overview

Journal Bone Joint Res

Date 2016 Feb 26

PMID 26912384

Citations 19

Authors

J J Gebhart

D S Weinberg

M S Bohl

R W Liu

Affiliations

Soon will be listed here.

Abstract

Objectives: Sagittal alignment of the lumbosacral spine, and specifically pelvic incidence (PI), has been implicated in the development of spine pathology, but generally ignored with regards to diseases of the hip. We aimed to determine if increased PI is correlated with higher rates of hip osteoarthritis (HOA). The effect of PI on the development of knee osteoarthritis (KOA) was used as a negative control.

Methods: We studied 400 well-preserved cadaveric skeletons ranging from 50 to 79 years of age at death. Each specimen's OA of the hip and knee were graded using a previously described method. PI was measured from standardised lateral photographs of reconstructed pelvises. Multiple regression analysis was performed to determine the relationship between age and PI with HOA and KOA.

Results: The mean age was 60.2 years (standard deviation (sd) 8.1), and the mean PI was 46.7° (sd 10.7°). Multiple regression analysis demonstrated a significant correlation between increased PI and HOA (standardised beta = 0.103, p = 0.017). There was no correlation between PI and KOA (standardised beta = 0.003, p = 0.912).

Conclusion: Higher PI in the younger individual may contribute to the development of HOA in later life.Cite this article: Dr J. J. Gebhart. Relationship between pelvic incidence and osteoarthritis of the hip. Bone Joint Res 2016;5:66-72. DOI: 10.1302/2046-3758.52.2000552.

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References

Noguchi Y, Miura H, Takasugi S, Iwamoto Y . Cartilage and labrum degeneration in the dysplastic hip generally originates in the anterosuperior weight-bearing area: an arthroscopic observation. Arthroscopy. 1999; 15(5):496-506. DOI: 10.1053/ar.1999.v15.015049. View

Sturesson B, Uden A, Vleeming A . A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test. Spine (Phila Pa 1976). 2000; 25(3):364-8. DOI: 10.1097/00007632-200002010-00018. View

Maruyama M, Feinberg J, Capello W, DAntonio J . The Frank Stinchfield Award: Morphologic features of the acetabulum and femur: anteversion angle and implant positioning. Clin Orthop Relat Res. 2002; (393):52-65. View

Millis M, Kim Y . Rationale of osteotomy and related procedures for hip preservation: a review. Clin Orthop Relat Res. 2002; (405):108-21. DOI: 10.1097/00003086-200212000-00013. View

Mac-Thiong J, Berthonnaud E, Dimar 2nd J, Betz R, Labelle H . Sagittal alignment of the spine and pelvis during growth. Spine (Phila Pa 1976). 2004; 29(15):1642-7. DOI: 10.1097/01.brs.0000132312.78469.7b. View

Whitesides Jr T, Horton W, Hutton W, Hodges L . Spondylolytic spondylolisthesis: a study of pelvic and lumbosacral parameters of possible etiologic effect in two genetically and geographically distinct groups with high occurrence. Spine (Phila Pa 1976). 2005; 30(6 Suppl):S12-21. DOI: 10.1097/01.brs.0000155574.33693.60. View

Yoshimoto H, Sato S, Masuda T, Kanno T, Shundo M, Hyakumachi T . Spinopelvic alignment in patients with osteoarthrosis of the hip: a radiographic comparison to patients with low back pain. Spine (Phila Pa 1976). 2005; 30(14):1650-7. DOI: 10.1097/01.brs.0000169446.69758.fa. View

Boulay C, Tardieu C, Hecquet J, Benaim C, Mouilleseaux B, Marty C . Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J. 2005; 15(4):415-22. PMC: 3489325. DOI: 10.1007/s00586-005-0984-5. View

Legaye J . The femoro-sacral posterior angle: an anatomical sagittal pelvic parameter usable with dome-shaped sacrum. Eur Spine J. 2006; 16(2):219-25. PMC: 2200679. DOI: 10.1007/s00586-006-0090-3. View

10.

Klaue K, Durnin C, Ganz R . The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991; 73(3):423-9. DOI: 10.1302/0301-620X.73B3.1670443. View

11.

Mavcic B, Iglic A, Kralj-Iglic V, Brand R, Vengust R . Cumulative hip contact stress predicts osteoarthritis in DDH. Clin Orthop Relat Res. 2008; 466(4):884-91. PMC: 2504672. DOI: 10.1007/s11999-008-0145-3. View

12.

Philippot R, Wegrzyn J, Farizon F, Fessy M . Pelvic balance in sagittal and Lewinnek reference planes in the standing, supine and sitting positions. Orthop Traumatol Surg Res. 2009; 95(1):70-6. DOI: 10.1016/j.otsr.2008.01.001. View

13.

Jessel R, Zurakowski D, Zilkens C, Burstein D, Gray M, Kim Y . Radiographic and patient factors associated with pre-radiographic osteoarthritis in hip dysplasia. J Bone Joint Surg Am. 2009; 91(5):1120-9. DOI: 10.2106/JBJS.G.00144. View

14.

Janssen M, Drevelle X, Humbert L, Skalli W, Castelein R . Differences in male and female spino-pelvic alignment in asymptomatic young adults: a three-dimensional analysis using upright low-dose digital biplanar X-rays. Spine (Phila Pa 1976). 2009; 34(23):E826-32. DOI: 10.1097/BRS.0b013e3181a9fd85. View

15.

Toy J, Tinley J, Eubanks J, Qureshi S, Ahn N . Correlation of sacropelvic geometry with disc degeneration in spondylolytic cadaver specimens. Spine (Phila Pa 1976). 2011; 37(1):E10-5. DOI: 10.1097/BRS.0b013e3182257bb0. View

16.

Henak C, Ellis B, Harris M, Anderson A, Peters C, Weiss J . Role of the acetabular labrum in load support across the hip joint. J Biomech. 2011; 44(12):2201-6. PMC: 3225073. DOI: 10.1016/j.jbiomech.2011.06.011. View

17.

Vrtovec T, Janssen M, Likar B, Castelein R, Viergever M, Pernus F . A review of methods for evaluating the quantitative parameters of sagittal pelvic alignment. Spine J. 2012; 12(5):433-46. DOI: 10.1016/j.spinee.2012.02.013. View

18.

Devin C, McCullough K, Morris B, Yates A, Kang J . Hip-spine syndrome. J Am Acad Orthop Surg. 2012; 20(7):434-42. DOI: 10.5435/JAAOS-20-07-434. View

19.

Lazennec J, Brusson A, Rousseau M . Lumbar-pelvic-femoral balance on sitting and standing lateral radiographs. Orthop Traumatol Surg Res. 2013; 99(1 Suppl):S87-103. DOI: 10.1016/j.otsr.2012.12.003. View

20.

Dandachli W, Islam S, Richards R, Hall-Craggs M, Witt J . The influence of pelvic tilt on acetabular orientation and cover: a three-dimensional computerised tomography analysis. Hip Int. 2013; 23(1):87-92. DOI: 10.5301/HIP.2013.10715. View