局解手术学杂志2024，Vol.33Issue(5)：444-447,4.DOI:10.11659/jjssx.05E023142
髋关节置换术后腰椎骨盆矢状位参数变化与小关节源性腰痛的相关性研究
Correlation between changes of sagittal spinopelvic parameters after hip arthroplasty and facet joint-derived low back pain
摘要
Abstract
Objective To study the relationship between the changes of sagittal spinopelvic parameters and facet joint-derived low back pain in patients with hip osteoarthritis after hip arthroplasty.Methods The clinical data of 30 patients with facet joint-derived low back pain induced by hip osteoarthritis who underwent unilateral hip arthroplasty(observation group)from June 2019 to November 2020 in our hospital were retrospectively analyzed,and 50 healthy subjects who underwent lumbar X-ray examination in the physical examination center of our hospital at the same time were randomly selected as the control group.The sagittal spinopelvic parameters were measured based on the X-ray,including pelvic incidence(PI),pelvic tilt(PT),sacral slope(SS),lumbar lordosis(LL),sacrum pubic incidence(SPI)and sacrum pubic posterior angle(SPPA).The correlation between the changes of sagittal spinopelvic parameters and facet joint-derived low back pain was analyzed by multiple linear regression,and its diagnostic efficacy to facet joint-derived low back pain was analyzed by receiver operating characteristic(ROC)curve.Results The PI,LL,SPI or SPA before and 1 year after surgery of the observation group had no significant difference combined with those of the control group(P>0.05).The PT before surgery of the observation group was smaller than that of the control group(P<0.05),and the SS before surgery was larger than that of the control group(P<0.05).Multiple linear regression analysis showed that PT and SS before surgery were correlated with facet joint-derived low back pain(P<0.05).The sensitivity of PT and SS before surgery in diagnosing facet joint-derived low back pain were 50.00%and 73.30%,with the specificity of 88.00%and 78.00%,respectively.ROC curve analysis showed that the area under the curve of PT and SS before surgery in diagnosing facet joint-derived low back pain were 0.708(95%CI:0.595 to 0.822)and 0.775(95%CI:0.673 to 0.877),respectively.Conclusion Patients with hip osteoarthritis pain have significantly larger SS and significantly smaller PT.Hip arthroplasty can alleviate the symptoms of low back pain without affecting the sagittal spinopelvic balance;the PT and SS before surgery are correlated with the facet joint-derived low back pain,and they are of high value in the diagnosing facet joint-derived low back pain.关键词
髋关节骨性关节炎/髋关节置换术/腰椎骨盆矢状位平衡/影像学参数/小关节源性腰痛/相关性Key words
hip osteoarthritis/hip arthroplasty/sagittal spinopelvic balance/imaging parameters/facet joint-derived low back pain/correlation分类
医药卫生引用本文复制引用
王旋,边卫国,邱洪波,靳国栋,郭菲,张琳娟,韩学哲..髋关节置换术后腰椎骨盆矢状位参数变化与小关节源性腰痛的相关性研究[J].局解手术学杂志,2024,33(5):444-447,4.基金项目
陕西省重点研发计划项目(2021SF-170) （2021SF-170）
