Acetabular Anteversion Changes Due to Spinal Deformity Correction: Bridging the Gap Between Hip and Spine Surgeons
Hip osteoarthritis often coexists with adult spinal deformity, an abnormality in which sagittal spinopelvic malalignment is present. Debate exists whether to perform spinal realignment correction or total hip arthroplasty first. Hip extension and pelvic tilt are important compensatory mechanisms in...
Gespeichert in:
| Veröffentlicht in: | Journal of bone and joint surgery. American volume Jg. 97; H. 23; S. 1913 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
02.12.2015
|
| Schlagworte: | |
| ISSN: | 1535-1386, 1535-1386 |
| Online-Zugang: | Weitere Angaben |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | Hip osteoarthritis often coexists with adult spinal deformity, an abnormality in which sagittal spinopelvic malalignment is present. Debate exists whether to perform spinal realignment correction or total hip arthroplasty first. Hip extension and pelvic tilt are important compensatory mechanisms in the setting of sagittal spinopelvic malalignment and change after spinal realignment. We performed this study to evaluate the effect that the spinal realignment surgical procedure has on acetabular anteversion.
This study is a retrospective review of a multicenter, prospective, consecutive database of patients with adult spinal deformity who underwent surgical spinal realignment. Only patients who already had undergone a total hip arthroplasty prior to the spinal realignment procedure were retained for analysis. Patients were excluded if they had insufficient imaging or large-head, metal-on-metal bearings or they had undergone revision total hip arthroplasty in the study period. Acetabular anteversion was calculated via the ellipse method on a standing, posterior-anterior, 90-cm radiograph with a well-centered pelvis. Anteversion was measured preoperatively and at six weeks or three months after the spinal realignment procedure. Spinopelvic parameters measured included pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, T1 pelvic angle, sagittal vertical axis, T1-spinopelvic inclination, and thoracic kyphosis.
Forty-one hips (thirty-three patients) were identified. Acetabular anteversion significantly reduced (p < 0.001) after spinal correction by mean change of -4.96° (range, -22.32° to +2.36°). The change in anteversion correlated with the changes in sagittal pelvic orientation (0.828 for the pelvic tilt, -0.757 for the sacral slope, and -0.691 for the lumbar lordosis) and global spinopelvic alignment (0.579 for the sagittal vertical axis and 0.585 for the T1 pelvic angle). Regression analysis revealed that anteversion decreased by 1° for each of the following spinopelvic parameter changes (p < 0.001): 1.105° for spinopelvic tilt, 1.032° for sacral slope, and 3.163° for lumbar lordosis.
Patients with spinopelvic malalignment had a high prevalence of excessively anteverted acetabular components. Sagittal spinal correction following total hip arthroplasty resulted in reduced acetabular anteversion, which may have implications for stability. Changes in anteversion are most closely related to changes in pelvic tilt in an almost one-to-one ratio. |
|---|---|
| AbstractList | Hip osteoarthritis often coexists with adult spinal deformity, an abnormality in which sagittal spinopelvic malalignment is present. Debate exists whether to perform spinal realignment correction or total hip arthroplasty first. Hip extension and pelvic tilt are important compensatory mechanisms in the setting of sagittal spinopelvic malalignment and change after spinal realignment. We performed this study to evaluate the effect that the spinal realignment surgical procedure has on acetabular anteversion.BACKGROUNDHip osteoarthritis often coexists with adult spinal deformity, an abnormality in which sagittal spinopelvic malalignment is present. Debate exists whether to perform spinal realignment correction or total hip arthroplasty first. Hip extension and pelvic tilt are important compensatory mechanisms in the setting of sagittal spinopelvic malalignment and change after spinal realignment. We performed this study to evaluate the effect that the spinal realignment surgical procedure has on acetabular anteversion.This study is a retrospective review of a multicenter, prospective, consecutive database of patients with adult spinal deformity who underwent surgical spinal realignment. Only patients who already had undergone a total hip arthroplasty prior to the spinal realignment procedure were retained for analysis. Patients were excluded if they had insufficient imaging or large-head, metal-on-metal bearings or they had undergone revision total hip arthroplasty in the study period. Acetabular anteversion was calculated via the ellipse method on a standing, posterior-anterior, 90-cm radiograph with a well-centered pelvis. Anteversion was measured preoperatively and at six weeks or three months after the spinal realignment procedure. Spinopelvic parameters measured included pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, T1 pelvic angle, sagittal vertical axis, T1-spinopelvic inclination, and thoracic kyphosis.METHODSThis study is a retrospective review of a multicenter, prospective, consecutive database of patients with adult spinal deformity who underwent surgical spinal realignment. Only patients who already had undergone a total hip arthroplasty prior to the spinal realignment procedure were retained for analysis. Patients were excluded if they had insufficient imaging or large-head, metal-on-metal bearings or they had undergone revision total hip arthroplasty in the study period. Acetabular anteversion was calculated via the ellipse method on a standing, posterior-anterior, 90-cm radiograph with a well-centered pelvis. Anteversion was measured preoperatively and at six weeks or three months after the spinal realignment procedure. Spinopelvic parameters measured included pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, T1 pelvic angle, sagittal vertical axis, T1-spinopelvic inclination, and thoracic kyphosis.Forty-one hips (thirty-three patients) were identified. Acetabular anteversion significantly reduced (p < 0.001) after spinal correction by mean change of -4.96° (range, -22.32° to +2.36°). The change in anteversion correlated with the changes in sagittal pelvic orientation (0.828 for the pelvic tilt, -0.757 for the sacral slope, and -0.691 for the lumbar lordosis) and global spinopelvic alignment (0.579 for the sagittal vertical axis and 0.585 for the T1 pelvic angle). Regression analysis revealed that anteversion decreased by 1° for each of the following spinopelvic parameter changes (p < 0.001): 1.105° for spinopelvic tilt, 1.032° for sacral slope, and 3.163° for lumbar lordosis.RESULTSForty-one hips (thirty-three patients) were identified. Acetabular anteversion significantly reduced (p < 0.001) after spinal correction by mean change of -4.96° (range, -22.32° to +2.36°). The change in anteversion correlated with the changes in sagittal pelvic orientation (0.828 for the pelvic tilt, -0.757 for the sacral slope, and -0.691 for the lumbar lordosis) and global spinopelvic alignment (0.579 for the sagittal vertical axis and 0.585 for the T1 pelvic angle). Regression analysis revealed that anteversion decreased by 1° for each of the following spinopelvic parameter changes (p < 0.001): 1.105° for spinopelvic tilt, 1.032° for sacral slope, and 3.163° for lumbar lordosis.Patients with spinopelvic malalignment had a high prevalence of excessively anteverted acetabular components. Sagittal spinal correction following total hip arthroplasty resulted in reduced acetabular anteversion, which may have implications for stability. Changes in anteversion are most closely related to changes in pelvic tilt in an almost one-to-one ratio.CONCLUSIONSPatients with spinopelvic malalignment had a high prevalence of excessively anteverted acetabular components. Sagittal spinal correction following total hip arthroplasty resulted in reduced acetabular anteversion, which may have implications for stability. Changes in anteversion are most closely related to changes in pelvic tilt in an almost one-to-one ratio. Hip osteoarthritis often coexists with adult spinal deformity, an abnormality in which sagittal spinopelvic malalignment is present. Debate exists whether to perform spinal realignment correction or total hip arthroplasty first. Hip extension and pelvic tilt are important compensatory mechanisms in the setting of sagittal spinopelvic malalignment and change after spinal realignment. We performed this study to evaluate the effect that the spinal realignment surgical procedure has on acetabular anteversion. This study is a retrospective review of a multicenter, prospective, consecutive database of patients with adult spinal deformity who underwent surgical spinal realignment. Only patients who already had undergone a total hip arthroplasty prior to the spinal realignment procedure were retained for analysis. Patients were excluded if they had insufficient imaging or large-head, metal-on-metal bearings or they had undergone revision total hip arthroplasty in the study period. Acetabular anteversion was calculated via the ellipse method on a standing, posterior-anterior, 90-cm radiograph with a well-centered pelvis. Anteversion was measured preoperatively and at six weeks or three months after the spinal realignment procedure. Spinopelvic parameters measured included pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, T1 pelvic angle, sagittal vertical axis, T1-spinopelvic inclination, and thoracic kyphosis. Forty-one hips (thirty-three patients) were identified. Acetabular anteversion significantly reduced (p < 0.001) after spinal correction by mean change of -4.96° (range, -22.32° to +2.36°). The change in anteversion correlated with the changes in sagittal pelvic orientation (0.828 for the pelvic tilt, -0.757 for the sacral slope, and -0.691 for the lumbar lordosis) and global spinopelvic alignment (0.579 for the sagittal vertical axis and 0.585 for the T1 pelvic angle). Regression analysis revealed that anteversion decreased by 1° for each of the following spinopelvic parameter changes (p < 0.001): 1.105° for spinopelvic tilt, 1.032° for sacral slope, and 3.163° for lumbar lordosis. Patients with spinopelvic malalignment had a high prevalence of excessively anteverted acetabular components. Sagittal spinal correction following total hip arthroplasty resulted in reduced acetabular anteversion, which may have implications for stability. Changes in anteversion are most closely related to changes in pelvic tilt in an almost one-to-one ratio. |
| Author | Smith, Justin Errico, Thomas J Schwab, Frank J Lafage, Renaud Mundis, Gregory M Lafage, Virginie Bess, Shay Ames, Christopher Vigdorchik, Jonathan Buckland, Aaron J |
| Author_xml | – sequence: 1 givenname: Aaron J surname: Buckland fullname: Buckland, Aaron J email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 2 givenname: Jonathan surname: Vigdorchik fullname: Vigdorchik, Jonathan email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 3 givenname: Frank J surname: Schwab fullname: Schwab, Frank J email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 4 givenname: Thomas J surname: Errico fullname: Errico, Thomas J email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 5 givenname: Renaud surname: Lafage fullname: Lafage, Renaud email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 6 givenname: Christopher surname: Ames fullname: Ames, Christopher email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 7 givenname: Shay surname: Bess fullname: Bess, Shay email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 8 givenname: Justin surname: Smith fullname: Smith, Justin email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 9 givenname: Gregory M surname: Mundis fullname: Mundis, Gregory M email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com – sequence: 10 givenname: Virginie surname: Lafage fullname: Lafage, Virginie email: aaronbuckland@me.com organization: Spine Research Center, NYU Langone Medical Center, 306 East 15th Street, New York, NY, 10003. E-mail address for A. Buckland: aaronbuckland@me.com |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26631991$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkM9PwjAYhhuDkR9682x69DLs13Ud8wZDQULCAT2T0n6DmdHNttPw30sUE0_ve3ie9_D2ScfWFgm5BTbkwOTDYrJYD1dDxngqL0gPkjiJIB7Jzr_eJX3v3xljQrD0inS5lDFkGfSIG2sMattWytGxDfiJzpe1pfle2R16Om2Rhpqum9Kqik6xqN2hDEea186hDif0kU5caXal3dGwRzpTDZ1g-EK0dF42VFnzYyNdt26HtfXX5LJQlcebcw7I2_PTaz6PlqvZSz5eRlpwwSMwkuvMSIBCJQqV1EqjyUwCHDVoPRIF6AJFzLaJxK3RhsUMUp5lKbAUMj4g97-7jas_WvRhcyi9xqpSFuvWbyAVQkqegjihd2e03R7QbBpXHpQ7bv5-4t-gl2vx |
| CitedBy_id | crossref_primary_10_1007_s00586_022_07251_6 crossref_primary_10_1016_j_arth_2020_12_029 crossref_primary_10_1007_s10067_023_06789_0 crossref_primary_10_2106_JBJS_20_01728 crossref_primary_10_3928_01477447_20221003_04 crossref_primary_10_1016_j_xnsj_2023_100247 crossref_primary_10_1016_j_arth_2017_02_083 crossref_primary_10_1007_s00590_023_03600_3 crossref_primary_10_1016_j_arth_2019_08_020 crossref_primary_10_1111_os_13613 crossref_primary_10_2106_JBJS_RVW_18_00049 crossref_primary_10_1007_s00586_020_06397_5 crossref_primary_10_1016_j_arth_2023_01_052 crossref_primary_10_1302_0301_620X_100B7_BJJ_2017_1569_R1 crossref_primary_10_1007_s00586_020_06664_5 crossref_primary_10_1016_j_arth_2022_02_028 crossref_primary_10_1016_j_arth_2023_05_062 crossref_primary_10_1016_j_otsr_2023_103773 crossref_primary_10_1038_s41598_023_29545_5 crossref_primary_10_1016_j_arth_2020_06_048 crossref_primary_10_1016_j_ocl_2021_03_001 crossref_primary_10_1016_j_artd_2020_07_002 crossref_primary_10_1016_j_otsr_2024_104087 crossref_primary_10_2106_JBJS_RVW_17_00189 crossref_primary_10_5312_wjo_v15_i6_501 crossref_primary_10_1016_j_artd_2019_10_002 crossref_primary_10_1016_j_arth_2019_06_036 crossref_primary_10_1097_BSD_0000000000000655 crossref_primary_10_1016_j_spinee_2025_01_021 crossref_primary_10_1097_CORR_0000000000002485 crossref_primary_10_7759_cureus_19744 crossref_primary_10_1016_j_arth_2024_04_043 crossref_primary_10_1177_1120700020949837 crossref_primary_10_1016_j_wneu_2024_08_132 crossref_primary_10_1016_j_rbo_2018_04_005 crossref_primary_10_1177_21925682211004920 crossref_primary_10_1016_j_jor_2018_08_015 crossref_primary_10_1016_j_arth_2017_11_021 crossref_primary_10_1177_21925682211026633 crossref_primary_10_1302_0301_620X_101B6_BJJ_2018_1448_R1 crossref_primary_10_1177_1120700019855240 crossref_primary_10_5312_wjo_v16_i1_98871 crossref_primary_10_1016_j_semss_2023_101066 crossref_primary_10_1302_0301_620X_99B5_BJJ_2016_0657_R1 crossref_primary_10_3233_THC_161281 crossref_primary_10_1016_j_artd_2020_07_010 crossref_primary_10_1007_s00402_018_03107_1 crossref_primary_10_1097_CORR_0000000000000390 crossref_primary_10_1111_os_13159 crossref_primary_10_1007_s43390_020_00204_3 crossref_primary_10_1007_s11999_0000000000000009 crossref_primary_10_1016_j_arthro_2025_02_021 crossref_primary_10_1016_j_jbiomech_2018_10_020 crossref_primary_10_5435_JAAOS_D_18_00295 crossref_primary_10_5435_JAAOSGlobal_D_22_00150 crossref_primary_10_1007_s00256_017_2752_0 crossref_primary_10_1186_s12891_021_04865_7 crossref_primary_10_2106_JBJS_23_00818 crossref_primary_10_1016_j_artd_2020_09_011 crossref_primary_10_1016_j_ocl_2018_11_002 crossref_primary_10_1016_j_artd_2024_101508 crossref_primary_10_1016_j_rcl_2022_03_009 crossref_primary_10_1016_j_arth_2016_12_039 crossref_primary_10_1053_j_sart_2019_05_001 crossref_primary_10_1016_j_arth_2020_12_055 crossref_primary_10_3390_jcm10163528 crossref_primary_10_1007_s00402_022_04531_0 crossref_primary_10_1097_BSD_0000000000000712 crossref_primary_10_1302_0301_620X_101B2_BJJ_2018_0754_R1 crossref_primary_10_1302_0301_620X_101B11_BJJ_2019_0663_R1 crossref_primary_10_1093_jhps_hnab023 crossref_primary_10_1007_s43390_020_00281_4 crossref_primary_10_1016_j_arth_2023_03_025 crossref_primary_10_1007_s00586_016_4696_9 crossref_primary_10_1002_jor_25106 crossref_primary_10_1007_s00586_016_4533_1 crossref_primary_10_1016_j_gaitpost_2017_02_015 crossref_primary_10_1007_s00402_024_05338_x crossref_primary_10_1016_j_msksp_2019_03_002 crossref_primary_10_1186_s12891_022_05154_7 crossref_primary_10_3171_2021_7_SPINE21114 crossref_primary_10_1016_j_arth_2020_04_071 crossref_primary_10_1111_os_13138 crossref_primary_10_1186_s12891_021_04827_z crossref_primary_10_1186_s42836_025_00299_x crossref_primary_10_1007_s00586_021_06778_4 crossref_primary_10_1093_jhps_hnab056 crossref_primary_10_1007_s00264_020_04507_y crossref_primary_10_1186_s12880_023_01178_0 crossref_primary_10_3390_medicina59040655 crossref_primary_10_1038_s41598_021_86849_0 crossref_primary_10_1302_0301_620X_101B7_BJJ_2018_1188_R1 crossref_primary_10_5435_JAAOS_D_20_00953 crossref_primary_10_1007_s00264_022_05497_9 crossref_primary_10_1007_s00590_021_03166_y crossref_primary_10_1155_2019_4780280 crossref_primary_10_3171_2020_12_SPINE201735 crossref_primary_10_1016_j_otsr_2017_02_014 crossref_primary_10_1016_j_otsr_2025_104297 crossref_primary_10_1097_BSD_0000000000001300 crossref_primary_10_1177_03000605221116976 crossref_primary_10_1016_j_otsr_2022_103504 crossref_primary_10_1302_0301_620X_100B10_BJJ_2017_1336_R2 crossref_primary_10_1016_j_jspd_2019_03_007 crossref_primary_10_1186_s12891_021_04415_1 crossref_primary_10_1007_s00402_025_05808_w crossref_primary_10_1016_j_rcot_2023_07_006 crossref_primary_10_1177_11207000231197420 crossref_primary_10_1007_s00586_016_4880_y crossref_primary_10_1007_s00402_023_04975_y crossref_primary_10_1016_j_arthro_2022_09_014 crossref_primary_10_1016_j_jor_2018_03_036 crossref_primary_10_3390_jcm9082569 crossref_primary_10_1007_s00402_021_04203_5 crossref_primary_10_1302_0301_620X_101B7_BJJ_2018_1502_R1 crossref_primary_10_1016_j_arth_2022_05_016 crossref_primary_10_1016_j_arth_2022_05_017 crossref_primary_10_1302_0301_620X_99B1_BJJ_2016_0415_R1 crossref_primary_10_1111_os_12543 crossref_primary_10_1186_s13018_021_02716_8 crossref_primary_10_1097_BRS_0000000000003351 crossref_primary_10_1177_1120700018793373 crossref_primary_10_2106_JBJS_18_00078 crossref_primary_10_1007_s00586_018_5509_0 crossref_primary_10_1016_j_arth_2019_11_020 crossref_primary_10_14531_ss2025_2_6_22 crossref_primary_10_3390_medicina57111219 crossref_primary_10_1007_s00132_020_03982_w crossref_primary_10_1053_j_sart_2022_12_009 crossref_primary_10_1016_j_arth_2016_11_026 crossref_primary_10_2106_JBJS_24_00108 crossref_primary_10_1016_j_arth_2016_11_029 crossref_primary_10_1016_j_arthro_2020_10_030 crossref_primary_10_1016_j_jspd_2018_03_008 crossref_primary_10_1007_s00264_017_3584_1 crossref_primary_10_1177_1120700018777480 crossref_primary_10_1007_s12178_020_09628_w crossref_primary_10_1177_2151459321992745 crossref_primary_10_1186_s12891_025_08687_9 crossref_primary_10_1038_s41598_024_62964_6 crossref_primary_10_1016_j_monrhu_2019_10_001 crossref_primary_10_2106_JBJS_CC_22_00446 crossref_primary_10_2106_JBJS_OA_18_00025 crossref_primary_10_1155_2019_3041359 crossref_primary_10_1016_j_arth_2018_12_035 crossref_primary_10_2147_IJGM_S373432 crossref_primary_10_1016_j_arth_2019_08_053 crossref_primary_10_5435_JAAOSGlobal_D_20_00004 crossref_primary_10_1016_j_arth_2016_01_067 crossref_primary_10_1302_0301_620X_99B2_BJJ_2016_0098_R1 crossref_primary_10_5435_JAAOSGlobal_D_22_00182 crossref_primary_10_1097_BSD_0000000000001320 crossref_primary_10_14531_ss2025_2_23_31 crossref_primary_10_1016_j_jor_2022_02_017 crossref_primary_10_1007_s00586_017_5033_7 crossref_primary_10_1097_BRS_0000000000004957 crossref_primary_10_1097_CORR_0000000000000367 |
| ContentType | Journal Article |
| Copyright | Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated. |
| Copyright_xml | – notice: Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.2106/JBJS.O.00276 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| EISSN | 1535-1386 |
| ExternalDocumentID | 26631991 |
| Genre | Evaluation Studies Research Support, Non-U.S. Gov't Journal Article |
| GroupedDBID | .XZ 08P 0R~ 123 29K 34G 36B 39C 4.4 53G 5RE 5RS 6NX 8F7 AAAAV AAAXR AAFTM AAGIX AAHPQ AAIQE AAMOA AAQKA AASCR AAWTL AAXQO ABASU ABDIG ABJNI ABPMR ABPXF ABVCZ ABXVJ ABZZY ACCJW ACEWG ACGFS ACGOD ACILI ACIWK ACLDA ACNWC ACPRK ACXJB ACZKN ADGGA ADGHP ADHPY AEETU AFBFQ AFCHL AFDTB AFFNX AFMFG AFRAH AFUWQ AHMBA AHOMT AHQNM AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BOWHD BQLVK BYPQX C45 CGR CS3 CUY CVF D-I DIWNM E3Z EBS ECM EEVPB EIF EJD ERAAH F5P FCALG GNXGY GQDEL HLJTE IKREB IKYAY JG8 K-O L7B M5~ NPM O9- OCB OGEVE OHH OPUJH OVD OVDNE OVIDH OVLEI OXXIT PZZ RLZ SJN TEORI TSPGW VVN W1K WH7 YOC ZY1 ZZMQN ~H1 ~ZZ 7X8 ACBKD ADKSD ADSXY |
| ID | FETCH-LOGICAL-c4242-1d62c9d611fa5aea6caced9d512ec1cc84f1cfe430b56ebdcd030172997107192 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 157 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=00004623-201512020-00002&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1535-1386 |
| IngestDate | Sun Nov 09 12:25:22 EST 2025 Mon Jul 21 06:01:12 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 23 |
| Language | English |
| License | Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4242-1d62c9d611fa5aea6caced9d512ec1cc84f1cfe430b56ebdcd030172997107192 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
| PMID | 26631991 |
| PQID | 1744662714 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_1744662714 pubmed_primary_26631991 |
| PublicationCentury | 2000 |
| PublicationDate | 2015-December-2 |
| PublicationDateYYYYMMDD | 2015-12-02 |
| PublicationDate_xml | – month: 12 year: 2015 text: 2015-December-2 day: 02 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Journal of bone and joint surgery. American volume |
| PublicationTitleAlternate | J Bone Joint Surg Am |
| PublicationYear | 2015 |
| SSID | ssj0004407 |
| Score | 2.5501351 |
| Snippet | Hip osteoarthritis often coexists with adult spinal deformity, an abnormality in which sagittal spinopelvic malalignment is present. Debate exists whether to... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 1913 |
| SubjectTerms | Acetabulum - diagnostic imaging Adult Arthroplasty, Replacement, Hip Bone Anteversion - diagnostic imaging Bone Anteversion - etiology Humans Osteoarthritis, Hip - complications Osteoarthritis, Hip - surgery Postoperative Complications - diagnostic imaging Radiography Retrospective Studies Spinal Curvatures - complications Spinal Curvatures - surgery Treatment Outcome |
| Title | Acetabular Anteversion Changes Due to Spinal Deformity Correction: Bridging the Gap Between Hip and Spine Surgeons |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/26631991 https://www.proquest.com/docview/1744662714 |
| Volume | 97 |
| WOSCitedRecordID | wos00004623-201512020-00002&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpZ07T8MwEMctoAwsPMSrvGQk1tCmcZyaBfVBqSoolQqoW-WcHalLEvrg83PnpIIFCYklmyPLPts_n-_uz9iNLzTIQEoPfBl6QsSRp3TdeCQtAsbGxrgs1_enaDhsTiZqVDrcFmVY5XpPdBu1yYB85DUkZ0HFyn1xn394pBpFr6ulhMYmqwSIMmTV0eRHtXDh0qVxUYdUa08Wge94yZG1QXswvn0hd0okf4dLd8j09v7bvX22W-IlbxX2cMA2bHrI5i2wSx1TwClvpSRj5nxkvMgsWPDuyvJlxsc5KWTxriWORTjnHVLucHkPd7xNiV14zHEERv6oc94uArx4f5ZznRrX2vIxZVmjIR-xt97Da6fvlVoLHgg8pT3fyAYoI30_0aG2WoIGa5RBHrDgAzRF4kNiRVCPQ4lTCIbuUkjmChElQkw8ZltpltpTxmMdxKCVEIFRIjKgBf5b1UMTqkRbGVXZ9XoIp2jL9EChU5utFtPvQayyk2IepnlRdGOKIBFQmNbZH1qfsx3kmtBFnTQuWCXBlWwv2TZ8LmeL-ZUzEvwOR89fGabILw |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Acetabular+Anteversion+Changes+Due+to+Spinal+Deformity+Correction%3A+Bridging+the+Gap+Between+Hip+and+Spine+Surgeons&rft.jtitle=Journal+of+bone+and+joint+surgery.+American+volume&rft.au=Buckland%2C+Aaron+J&rft.au=Vigdorchik%2C+Jonathan&rft.au=Schwab%2C+Frank+J&rft.au=Errico%2C+Thomas+J&rft.date=2015-12-02&rft.issn=1535-1386&rft.eissn=1535-1386&rft.volume=97&rft.issue=23&rft.spage=1913&rft_id=info:doi/10.2106%2FJBJS.O.00276&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1535-1386&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1535-1386&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1535-1386&client=summon |