{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T20:04:38Z","timestamp":1760731478409},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Correct interaction between the spine, pelvis, and hip is an essential condition for successful progress after total hip replacement. Spinal pathologies, such as degeneration, fractures,\n          and spinopelvic imbalance with and without lumbar fusions, are closely associated with an increased risk of impingement or even dislocation of the prosthesis. To significantly reduce this\n          risk, various parameters are required to quantify the risk groups. Knowledge on the presence of stiffness of the spine (change in pelvic tilt between standing and sitting at &lt;\u200910\u00b0) and\n          sagittal spinal deformity (pelvic incidence\u2013lumbar lordosis mismatch &gt;\u200910\u00b0 or 20\u00b0) is essential in identifying patients with corresponding risk. The individual risk profile can be\n          assessed through a specific history and examination. Before total hip arthroplasty, a routine preoperative workup is recommended for high-risk patients: using information from standardised\n          preoperative radiographs while sitting and standing (pelvis, anteroposterior view, lying and standing; spine and pelvis, lateral view, standing and sitting). Important changes can be made\n          during the surgery. If the spine is stiff, attention should be paid to the position of the cup, with increased anteversion, sufficient offset, and larger head that is secure to dislocation \u2013\n          to reduce the risk of dislocation. In the case of a sagittal spinal deformity, the functional coronary pelvic level must be carefully controlled so that it is better to use double mobility\n          cups. Digital systems, such as navigation and robotics, can optimise component positioning although, so far, there is little evidence that the complication rate decreased. Therefore, further\n          studies are warranted.<\/jats:p>","DOI":"10.1055\/a-1527-7697","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T23:19:02Z","timestamp":1632179942000},"page":"168-174","source":"Crossref","is-referenced-by-count":3,"title":["Importance of Hip-Spine Syndrome in Hip Arthroplasty: Influence on the Outcome and Therapeutic Consequences"],"prefix":"10.1055","volume":"161","author":[{"given":"Severin","family":"Langer","sequence":"additional","affiliation":[{"name":"Clinic and Polyclinic for Orthopaedics and Sports Orthopaedics, Klinikum Rechts der Isar of the Technical University of Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Stephan","sequence":"additional","affiliation":[{"name":"Clinic and Polyclinic for Orthopaedics and Sports Orthopaedics, Klinikum Rechts der Isar of the Technical University of Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00fcdiger","family":"von Eisenhart-Rothe","sequence":"additional","affiliation":[{"name":"Clinic and Polyclinic for Orthopaedics and Sports Orthopaedics, Klinikum Rechts der Isar of the Technical University of Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1097\/00007632-198304000-00014","article-title":"Hip-spine syndrome","volume":"8","author":"C M Offierski","year":"1983","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"S57","DOI":"10.1016\/j.arth.2019.01.012","article-title":"A Preoperative Workup of a \u201cHip-Spine\u201d Total Hip Arthroplasty Patient: A Simplified Approach to a Complex Problem","volume":"34(7S)","author":"T A Luthringer","year":"2019","journal-title":"J Arthroplasty"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1016\/j.arth.2017.10.041","article-title":"Total Hip Arthroplasty in Patients With Previous Lumbar Fusion Surgery: Are There More Dislocations and Revisions?","volume":"33","author":"A L Malkani","year":"2018","journal-title":"J Arthroplasty"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1302\/0301-620X.99b5.BJJ-2016-0657.R1","article-title":"Dislocation of a primary total hip arthroplasty is more common in patients with a lumbar spinal fusion","volume":"99-B","author":"A J Buckland","year":"2017","journal-title":"Bone Joint J"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1567","DOI":"10.1016\/j.arth.2017.12.034","article-title":"Risk Factors for Early Dislocation Following Primary Elective Total Hip Arthroplasty","volume":"33","author":"E B Gausden","year":"2018","journal-title":"J Arthroplasty"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1910","DOI":"10.1016\/j.arth.2016.12.039","article-title":"Total Hip Arthroplasty in the Spinal Deformity Population: Does Degree of Sagittal Deformity Affect Rates of Safe Zone Placement, Instability, or Revision?","volume":"32","author":"E M DelSole","year":"2017","journal-title":"J Arthroplasty"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1080\/17453670510041501","article-title":"Pelvic tilt makes acetabular cup navigation inaccurate","volume":"76","author":"B Lembeck","year":"2005","journal-title":"Acta Orthop"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"217","DOI":"10.2106\/00004623-197860020-00014","article-title":"Dislocations after total hip-replacement arthroplasties","volume":"60","author":"G E Lewinnek","year":"1978","journal-title":"J Bone Joint Surg Am"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1007\/s11999-015-4432-5","article-title":"What Safe Zone? The Vast Majority of Dislocated THAs Are Within the Lewinnek Safe Zone for Acetabular Component Position","volume":"474","author":"M P Abdel","year":"2016","journal-title":"Clin Orthop Relat Res"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.arth.2014.07.009","article-title":"Cup position alone does not predict risk of dislocation after hip arthroplasty","volume":"30","author":"C I Esposito","year":"2015","journal-title":"J Arthroplasty"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1080\/17453674.2016.1251255","article-title":"Acetabular cup position and risk of dislocation in primary total hip arthroplasty","volume":"88","author":"K G Seagrave","year":"2017","journal-title":"Acta Orthop"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1302\/0301-620X.99b2.BJJ-2016-0098.R1","article-title":"Variation in functional pelvic tilt in patients undergoing total hip arthroplasty","volume":"99-B","author":"J Pierrepont","year":"2017","journal-title":"Bone Joint J"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"S252","DOI":"10.1016\/j.arth.2020.01.031","article-title":"The Majority of Total Hip Arthroplasty Patients With a Stiff Spine Do Not Have an Instrumented Fusion","volume":"35","author":"J M Vigdorchik","year":"2020","journal-title":"J Arthroplasty"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1016\/j.artd.2020.05.010","article-title":"The Prevalence of Abnormal Spinopelvic Relationships in Patients Presenting for Primary Total Hip Arthroplasty","volume":"6","author":"C N Carender","year":"2020","journal-title":"Arthroplast Today"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2569","DOI":"10.3390\/jcm9082569","article-title":"The Impact of Spinopelvic Mobility on Arthroplasty: Implications for Hip and Spine Surgeons","volume":"9","author":"H Haffer","year":"2020","journal-title":"J Clin Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"S74","DOI":"10.1016\/j.arth.2019.01.021","article-title":"Simplifying the Hip-Spine Relationship for Total Hip Arthroplasty: When Do I Use Dual-Mobility and Why Does It Work?","volume":"34(7S)","author":"M P Abdel","year":"2019","journal-title":"J Arthroplasty"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1007\/s11999-010-1487-1","article-title":"The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital","volume":"469","author":"M C Callanan","year":"2011","journal-title":"Clin Orthop Relat Res"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1843","article-title":"Precision and accuracy of imageless navigation versus freehand implantation of total hip arthroplasty: A systematic review and meta-analysis","author":"T Snijders","year":"2017","journal-title":"Int J Med Robot"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"907","DOI":"10.1016\/j.otsr.2019.03.015","article-title":"Modern cup alignment techniques in total hip arthroplasty: A systematic review","volume":"105","author":"C Maillot","year":"2019","journal-title":"Orthop Traumatol Surg Res"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1527-7697.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T23:43:03Z","timestamp":1680651783000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1527-7697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,20]]},"references-count":19,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,4,4]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1527-7697","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,20]]}}}