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- W4200458260 abstract "To investigate the changes of low back pain (LBP) and spinal sagittal parameters in patients with unilateral Crowe type Ⅳ developmental dysplasia of the hip (DDH) after total hip arthroplasty (THA).The clinical data of 30 patients who met the selection criteria between October 2018 and March 2020 were retrospectively analyzed. Patients were divided into LBP group (16 cases) and control group (14 cases) according to whether there was LBP before operation. There was no significant difference between the two groups of patients in gender, age, body mass index, affected sides, preoperative Harris score ( P>0.05). Full-length lateral X-ray films of the spine were taken within 1 week before operation and at 1 year after operation, and the following imaging indicators were measured: sacral slope (SS), lumbar lordosis (LL ), spinal tilt (ST), spine-sacral angle (SSA), sagittal vertebral axis (SVA). The visual analogue scale (VAS) score, lumbar Oswestry disability index (ODI), the Harris score of the hip joint before operation and at 1 year after operation, and the occurrence of postoperative complications were collected and analysed.In the LBP group, LBP was relieved to varying degrees at 1 year after operation, of which 13 patients (81.3%) had complete LBP remission; VAS score decreased from 4.9±2.3 preoperatively to 0.3±0.8, ODI decreased from 33.5±22.6 preoperatively to 1.3±2.9, the differences were all significant ( t=7.372, P=0.000; t=5.499, P=0.000). There was no new chronic LBP in the control group during follow-up. The Harris scores of the two groups significantly improved when compared with those before operation ( P<0.05); there was no significant difference between the two groups at 1 year after operation ( t=0.421, P=0.677). There was no significant difference in imaging indexes between the two groups before operation and the difference between pre- and post-operation ( P>0.05). At 1 year after operation, ST and SVA in the LBP group, SSA in the control group, and SS in the two groups significantly improved when compared with those before operation ( P<0.05); there was no significant difference in the other indexes between the two groups before and after operation ( P>0.05).Unilateral Crowe type Ⅳ DDH patients with LBP before operation were all relieved of LBP after THA. The relief of LBP may be related to the improvement of spinal balance, but not to lumbar lordosis and its changes.探讨单侧Crowe Ⅳ型发育性髋关节发育不良(developmental dysplasia of the hip,DDH)患者行人工全髋关节置换术(total hip arthroplasty,THA)后下腰痛(low back pain,LBP)及脊柱矢状面参数变化情况。.回顾性分析2018年10月—2020年3月符合选择标准的30例患者临床资料。根据术前是否存在LBP将患者分为LBP组(16例)和对照组(14例)。两组患者性别、年龄、身体质量指数、侧别及术前脱位高度、Harris评分等一般资料比较差异均无统计学意义( P>0.05)。术前1周内及术后1年随访时摄脊柱全长侧位X线片,测量以下脊柱矢状位参数:骶骨倾斜角(sacral slope,SS)、腰椎前凸角(lumbar lordosis,LL)、脊柱倾斜度(spinal tilt,ST)、脊柱骶骨角(spine-sacral angle,SSA)、脊柱矢状轴(sagittal vertebral axis,SVA);术前及术后1年收集分析LBP组患者的疼痛视觉模拟评分(VAS)、腰椎Oswestry功能障碍指数(ODI),以及两组患者髋关节Harris评分和术后并发症发生情况。.两组患者随访时间均为1年。LBP组患者术后1年LBP均有不同程度缓解,其中13例患者(81.3%)LBP完全缓解,VAS评分由术前(4.9±2.3)分降至(0.3±0.8)分,ODI由术前(33.5±22.6)分降至(1.3±2.9)分,手术前后比较差异均有统计学意义( t=7.372, P=0.000; t=5.499, P=0.000);对照组患者随访期间均无新发慢性LBP。两组Harris评分均较术前显著改善( P<0.05);两组间术后1年与术前差值比较差异无统计学意义( t=0.421, P=0.677)。术前脊柱矢状位参数及术后1年与术前差值两组间比较,差异均无统计学意义( P>0.05);术后1年,LBP组ST、SVA,对照组SSA,以及两组SS较术前显著改善,差异有统计学意义( P<0.05),其余指标两组手术前后比较差异均无统计学意义( P>0.05)。.术前具有LBP的单侧Crowe Ⅳ型DDH患者接受THA后LBP情况均得到缓解。LBP的缓解可能与脊柱平衡状态提升有关,而与腰椎前凸及其变化无关。." @default.
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- W4200458260 date "2021-12-15" @default.
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- W4200458260 title "[A study of low back pain and changes in spinal sagittal parameters after total hip arthroplasty in patients with unilateral Crowe type Ⅳ developmental dysplasia of the hip]." @default.
- W4200458260 doi "https://doi.org/10.7507/1002-1892.202107120" @default.
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