지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 325 - 334 (10page)
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초록· 키워드
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Study Design: Retrospective observational study. Purpose: We examined change in lumbrosacral spine alignment and low back pain (LBP) following total hip arthroplasty (THA) in patients with severe hip osteoarthritis (OA). Overview of Literature: Severe hip osteoarthritis has been reported to cause spine alignment abnormalities and low back pain, and it has been reported that low back pain is improved following THA. Methods: Our target population included 30 patients (29 female, mean age 63.5 years) with hip OA who underwent direct anterior approach THA. There were 12 cases with bilateral hip disease and 18 cases with unilateral osteoarthritis. Visual analogue scale (VAS) scores for LBP and coxalgia, the Roland-Morris Disability Questionnaire (RDQ), and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were assessed before and after surgery. Spinal alignment metrics were measured before and after surgery. Results: VAS for LBP change from preoperative to final postoperative observation was significantly improved (p <0.05), as was VAS for hip pain (p <0.001). RDQ improved significantly (p <0.01). All five domains of JOABPEQ were significantly improved (p <0.05). In terms of coronal alignment, lumbar scoliosis change from preoperative to last observation was significantly reduced (p <0.05). There were no significant changes in the sagittal alignment metrics. In addition, there was a correlation between before and after RDQ difference and before and after lumbar scoliosis difference (p <0.05). VAS for LBP (p <0.05) as well as RDQ (p <0.05) were significantly improved only in unilateral OA. Lumbar scoliosis was significantly improved in cases of unilateral OA (p <0.05), but alignment did not improve in cases of bilateral OA (p =0.29). Conclusions: The present study demonstrates improvements in VAS for LBP, RDQ, and all domains of JOABPEQ. There were also significant reductions in lumbar scoliosis and an observed correlation of RDQ improvement with lumbar scoliosis improvement. We were able to observe improvements in lumbar scoliosis and low back pain only in cases of unilateral OA. It has been suggested that the mechanism of low back pain improvement following THA is related to compensatory lumbar scoliosis improvement.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Offierski CM / 1983 / Hip-spine syndrome / Spine (Phila Pa 1976) 8:316~321
Ben-Galim P / 2007 / Hip-spine syndrome: the effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip / Spine (Phila Pa 1976) 32:2099~2102
Parvizi J / 2010 / Back pain and total hip arthroplasty: a prospective natural history study / Clin Orthop Relat Res 468:1325~1330
Fukui M / 2009 / JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ):the report on the development of revised versions; April 16, 2007; The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation / J Orthop Sci 14:348~365
Roland M / 1983 / A study of the natural history of back pain: part I:development of a reliable and sensitive measure of disability in low-back pain / Spine (Phila Pa 1976) 8:141~144
Ben-Galim P / 2007 / Hip-spine syndrome: the effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip / Spine (Phila Pa 1976) 32:2099~2102
Parvizi J / 2010 / Back pain and total hip arthroplasty: a prospective natural history study / Clin Orthop Relat Res 468:1325~1330
Fukui M / 2009 / JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ):the report on the development of revised versions; April 16, 2007; The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation / J Orthop Sci 14:348~365
Roland M / 1983 / A study of the natural history of back pain: part I:development of a reliable and sensitive measure of disability in low-back pain / Spine (Phila Pa 1976) 8:141~144
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