{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:24:41Z","timestamp":1790681081124,"version":"4.1.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Total hip arthroplasty dislocations that occur inside Lewinnek\u2019s anatomical safe zone represent a need to better understand the hip-spine relationship. Unfortunately, the use of obtuse and redundant terminology to describe the hip-spine relationship has made it a relatively inaccessible topic in orthopaedics. However, with a few basic definitions and principles, the hip-spine relationship can be simplified and understood to prevent unnecessary dislocations following total hip arthroplasty.<\/jats:p>\n                  <jats:p>In the following text, we use common language to define a normal and abnormal hip-spine relationship, present an algorithm for recognising and treating a high-risk hip-spine patient, and discuss several common, high-risk hip-spine pathologies to apply these concepts. Simply, high-risk hip-spine patients often require subtle adjustments to acetabular anteversion based on radiographic evaluations and should also be considered for a high-offset stem, dual-mobility articulation, or large femoral head for additional protection against instability and dislocation.<\/jats:p>","DOI":"10.1177\/1120700020949837","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T23:13:51Z","timestamp":1597274031000},"page":"144-153","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Applying the hip-spine relationship in total hip arthroplasty"],"prefix":"10.1177","volume":"31","author":[{"given":"Daniel H","family":"Wiznia","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel B","family":"Buchalter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J","family":"Kirby","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron J","family":"Buckland","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Schwarzkopf","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,12]]},"reference":[{"key":"bibr1-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B8.35700"},{"key":"bibr2-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00155"},{"key":"bibr3-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860020-00014"},{"key":"bibr4-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4432-5"},{"key":"bibr5-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.09.010"},{"key":"bibr6-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.09.010"},{"key":"bibr7-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2014.07.003"},{"key":"bibr8-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02043"},{"key":"bibr9-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B7.BJJ-2018-1188.R1"},{"key":"bibr10-1120700020949837","first-page":"234","volume":"75","author":"Buckland A","year":"2017","journal-title":"Bull Hosp Jt Dis (2013)"},{"key":"bibr11-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00276"},{"key":"bibr12-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2014.10.014"},{"key":"bibr13-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-003-0195-x"},{"key":"bibr14-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00403"},{"key":"bibr15-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2020.03.035"},{"key":"bibr16-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2020.01.031"},{"key":"bibr17-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B5.BJJ-2016-0657.R1"},{"key":"bibr18-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.01.012"},{"key":"bibr19-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.11.029"},{"key":"bibr20-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00117"},{"key":"bibr21-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181ee6bd4"},{"key":"bibr22-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.08.020"},{"key":"bibr23-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31823e15e2"},{"key":"bibr24-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.12.039"},{"key":"bibr25-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5509-0"},{"key":"bibr26-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.3.170020"},{"key":"bibr27-1120700020949837","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-15-00740"},{"key":"bibr28-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B10.BJJ-2017-1336.R2"},{"key":"bibr29-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.11.008"},{"key":"bibr30-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2581-3"},{"key":"bibr31-1120700020949837","volume-title":"American Academy of Orthopaedic Surgeons 2018 Annual Meeting","author":"Vigdorchik JM"},{"key":"bibr32-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2019.05.001"},{"key":"bibr33-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-3908-9"},{"key":"bibr34-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2002.33263"},{"key":"bibr35-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B10.BJJ-2017-1113.R3"},{"key":"bibr36-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.101B1.BJJ-2018-0506.R1"},{"key":"bibr37-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.03.024"},{"key":"bibr38-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2008.06.032"},{"key":"bibr39-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.06.059"},{"key":"bibr40-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3700-5"},{"key":"bibr41-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00765"},{"key":"bibr42-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2012.12.011"},{"key":"bibr43-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.04.063"},{"key":"bibr44-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4863-7"},{"key":"bibr45-1120700020949837","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00108"},{"key":"bibr46-1120700020949837","first-page":"40","volume":"101","author":"Vigdorchik J","year":"2019","journal-title":"Orthop Proc"},{"key":"bibr47-1120700020949837","first-page":"49","volume":"94","author":"Ghosh S","year":"2012","journal-title":"Orthop Proc"},{"key":"bibr48-1120700020949837","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1236-5"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120700020949837","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120700020949837","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120700020949837","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:21:55Z","timestamp":1777450915000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120700020949837"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,12]]},"references-count":48,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1177\/1120700020949837"],"URL":"https:\/\/doi.org\/10.1177\/1120700020949837","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,12]]}}}