Pelvic motion the key to understanding spine–hip interaction

EFORT Open Reviews

article

Javier Pizones¹  Eduardo García-Rey² 

[1] Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz;Hip Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz

关键词: acetabular orientation;    compensation mechanisms;    pelvic incidence;    pelvic retroversion;    risk for dislocation;    spine sagittal profile;    total hip arthroplasty;   

DOI  :  10.1302/2058-5241.5.200032

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Humans evolved from primates to become bipeds, leaving their upper limbs free for handling. The morphology of the pelvis had to change to become thinner, wider and more horizontal, to be the base upon which the spine stands erect. The pelvic ring also acts as the hinge between the spine and the lower limbs, coupling lumbar lordosis (LL) with hip extension in the standing position with a minimal energy expenditure.1 Recent investigations have renewed interest in the pelvis as the key to study spine alignment and hip biomechanics. Surgical procedures for degenerative lumbar spine and total hip arthroplasty (THA) projections represent a significant burden, not only in terms of clinical implications but also for health resources.2 Understanding the interactions between the hip and spine can improve clinical assessment, surgical planning, and postoperative outcomes of both disciplines.

【 授权许可】

CC BY|CC BY-NC|CC BY-NC-ND