The Role of Spinopelvic Parameters in Total Hip Arthroplasty: A Current Concept Review

Mir Mansour Moazen Jamshidi; Alireza Moharrami; Seyed Peyman Mirghaderi; Sadula Sharifpour; Amir Reza Mafi; Seyed Mohammad Javad Mortazavi

doi:10.18502/jost.v8i2.9308

Mir Mansour Moazen Jamshidi Associate Professor, Department of Orthopedic Surgery, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Alireza Moharrami Resident, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Seyed Peyman Mirghaderi Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran
Sadula Sharifpour Resident, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Amir Reza Mafi General Practitioner, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Seyed Mohammad Javad Mortazavi Professor, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v8i2.9308

Keywords: Pelvic Bones; Diagnostic Imaging; Spine; Total Hip Arthroplasty; Postural Balance; Physiology

Abstract

The spine, pelvis, and hip are three anatomic structures that tightly interact to create spinopelvic mobility and harmony. Orthopaedic surgeons, both spine and hip specialists, must have a complete awareness of this concept. Recently, the literature has placed great emphasis on paying attention to these parameters in the preoperative planning of the total hip arthroplasty (THA). We could distinguish between balanced and unbalanced pelvis and spine with spinopelvic parameters and therefore, we could diagnose the spinopelvic stiffness that is important in preventing complications following THA. This review briefly introduces the importance of spinopelvic parameters and their critical role in THA outcome. Treatment algorithms are also provided based on the most recent studies.