{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T11:50:28Z","timestamp":1779105028851,"version":"3.51.4"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>This study aimed to evaluate the association between spinopelvic alignment parameters and hip osteoarthritis progression after spinal alignment correction surgery for adult spinal deformity, focusing on the preoperative to postoperative change in spinopelvic alignment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This retrospective study enrolled 100 adult spinal deformity patients (196 hip joints) who underwent spinal fusion surgery, after excluding four joints with previous total hip arthroplasty. Acetabular roof obliquity (ARO), center edge angle (CE) and Kellgren and Lawrence (KL) grade were measured in the hip joint. Spinopelvic alignment parameters were measured preoperatively and 1-month postoperatively and the changes (\u0394) during this period were calculated. Patients were followed-up for\u2009\u2265\u20095\u00a0years and factors associated with KL grade progression at 5-years postoperatively were determined by logistic regression analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In the analysis with all cases, KL grade progressed in 23 joints. Logistic regression analysis revealed age (OR: 1.098, 95% CI: 1.007\u20131.198, <jats:italic>p<\/jats:italic>\u2009=\u20090.019), ARO (OR: 1.176, 95% CI: 1.01\u20131.37, <jats:italic>p<\/jats:italic>\u2009=\u20090.026), and \u0394 PI (OR: 0.791, 95% CI: 0.688\u20130.997, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) as parameters significantly associated with KL grade progression. On the other hand, in the analysis limited to 185 cases with 1-month postoperative KL grade of 0, KL grade progressed in 13 joints. Logistic regression analysis revealed PI-LL (OR: 1.058, 95% CI: 1.001\u20131.117, <jats:italic>p<\/jats:italic>\u2009=\u20090.04), \u0394PI (OR: 0.785, 95% CI: 0.649\u20130.951, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and \u0394Cobb (OR: 1.127, 95% CI: 1.012\u20131.253, <jats:italic>p<\/jats:italic>\u2009=\u20090.009) as parameters significantly associated with progression.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Both the overall and limited analyzes of this study identified preoperative to postoperative change in PI as parameters affecting the hip osteoarthritis progression after spinal fusion surgery. Decrease in PI might represent preexisting sacroiliac joint laxity. Patients with this risk factor should be carefully followed for possible hip osteoarthritis progression.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-024-07625-5","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T06:02:28Z","timestamp":1719554548000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Decrease in pelvic incidence after adult spinal deformity surgery is a predictive factor for progression of hip joint osteoarthritis"],"prefix":"10.1186","volume":"25","author":[{"given":"Kazuo","family":"Tomizawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Inami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Moridaira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruki","family":"Ueda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iwao","family":"Sekimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoya","family":"Kanto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Taneichi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"issue":"17","key":"7625_CR1","doi-asserted-by":"publisher","first-page":"1938","DOI":"10.1097\/01.brs.0000137069.88904.03","volume":"29","author":"P Park","year":"2004","unstructured":"Park P, Garton HJ, Gala VC, et al. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine. 2004;29(17):1938\u201344.","journal-title":"Spine"},{"issue":"4","key":"7625_CR2","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1007\/s00264-018-4241-z","volume":"43","author":"K Hashimoto","year":"2019","unstructured":"Hashimoto K, Aizawa T, Kanno H, et al. Adjacent segment degeneration after fusion spinal surgery-a systematic review. Int Orthop. 2019;43(4):987\u201393.","journal-title":"Int Orthop"},{"issue":"5","key":"7625_CR3","doi-asserted-by":"publisher","first-page":"1314","DOI":"10.1007\/s00586-020-06700-4","volume":"30","author":"T Kozaki","year":"2021","unstructured":"Kozaki T, Hashizume H, Nishiyama D, et al. Adjacent segment disease on hip joint as a complication of spinal fusion surgery including sacroiliac joint fixation. Eur Spine J. 2021;30(5):1314\u20139.","journal-title":"Eur Spine J"},{"issue":"20","key":"7625_CR4","doi-asserted-by":"publisher","first-page":"E729","DOI":"10.1097\/BRS.0b013e3181ae2ab2","volume":"34","author":"F Denis","year":"2009","unstructured":"Denis F, Sun EC, Winter RB. Incidence and risk factors for proximal and distal junctional kyphosis following surgical treatment for Scheuermann kyphosis: minimum five-year follow-up. Spine. 2009;34(20):E729\u201334.","journal-title":"Spine"},{"issue":"6","key":"7625_CR5","doi-asserted-by":"publisher","first-page":"681","DOI":"10.22603\/ssrr.2021-0231","volume":"6","author":"T Kozaki","year":"2022","unstructured":"Kozaki T, Hashizume H, Hiroyuki O, et al. Lumbar fusion including sacroiliac joint fixation increase the stress and angular motion at the hip joint: a finite element study. Spine Surg Relat Res. 2022;6(6):681\u20138.","journal-title":"Spine Surg Relat Res"},{"issue":"11","key":"7625_CR6","doi-asserted-by":"publisher","first-page":"953","DOI":"10.2106\/JBJS.20.01578","volume":"103","author":"T Kawai","year":"2021","unstructured":"Kawai T, Shimizu T, Goto K, et al. Number of levels of spinal fusion associated with the rate of joint-space narrowing in the hip. J Bone Joint Surg Am. 2021;103(11):953\u201360.","journal-title":"J Bone Joint Surg Am"},{"issue":"11","key":"7625_CR7","doi-asserted-by":"publisher","first-page":"3638","DOI":"10.1007\/s00586-016-4563-8","volume":"25","author":"S Inami","year":"2016","unstructured":"Inami S, Moridaira H, Takeuchi D, et al. Optimum pelvic incidence minus lumbar lordosis value can be determined by individual pelvic incidence. Eur Spine J. 2016;25(11):3638\u201343.","journal-title":"Eur Spine J"},{"issue":"11","key":"7625_CR8","doi-asserted-by":"publisher","first-page":"1495","DOI":"10.1007\/s00402-018-2992-z","volume":"138","author":"K Fukushima","year":"2018","unstructured":"Fukushima K, Miyagi M, Inoue G, et al. Relationship between spinal sagittal alignment and acetabular coverage: a patient-matched control study. Arch Orthop Trauma Surg. 2018;138(11):1495\u20139.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"11","key":"7625_CR9","doi-asserted-by":"publisher","first-page":"1275","DOI":"10.1080\/10255842.2012.744398","volume":"17","author":"JP Jorge","year":"2014","unstructured":"Jorge JP, Simoes FM, Pires EB, et al. Finite element simulations of a hip joint with femoroacetabular impingement. Comput Methods Biomech Biomed Eng Imaging Vis. 2014;17(11):1275\u201384.","journal-title":"Comput Methods Biomech Biomed Eng Imaging Vis"},{"issue":"4","key":"7625_CR10","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1016\/j.otsr.2017.03.010","volume":"103","author":"C Riviere","year":"2017","unstructured":"Riviere C, Hardijzer A, Lazennec JY, et al. Spine-hip relations add understandings to the pathophysiology of femoro-acetabular impingement: A systematic review. Orthop Traumatol Surg Res. 2017;103(4):549\u201357.","journal-title":"Orthop Traumatol Surg Res"},{"issue":"4","key":"7625_CR11","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1136\/ard.16.4.494","volume":"16","author":"JH Kellgren","year":"1957","unstructured":"Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthritis. Ann Rheum Dis. 1957;16(4):494\u2013502.","journal-title":"Ann Rheum Dis"},{"issue":"12","key":"7625_CR12","doi-asserted-by":"publisher","first-page":"2990","DOI":"10.1007\/s00586-020-06316-8","volume":"29","author":"G Si","year":"2020","unstructured":"Si G, Li T, Liu X, et al. Correlation analysis between postoperative hip pain and spino-pelvic\/hip parameters in adult scoliosis patients after long-segment spinal fusion. Eur Spine J. 2020;29(12):2990\u20137.","journal-title":"Eur Spine J"},{"issue":"2","key":"7625_CR13","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1007\/s005860050038","volume":"7","author":"J Legaye","year":"1998","unstructured":"Legaye J, Duval-Beaup\u00e8re G, Hecquet J, et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J. 1998;7(2):99\u2013103.","journal-title":"Eur Spine J"},{"issue":"4","key":"7625_CR14","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1007\/s00586-005-0984-5","volume":"15","author":"C Boulay","year":"2006","unstructured":"Boulay C, Tardieu C, Hecquet J, et al. Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J. 2006;15(4):415\u201322.","journal-title":"Eur Spine J"},{"issue":"9","key":"7625_CR15","doi-asserted-by":"publisher","first-page":"2473","DOI":"10.1007\/s00586-021-06753-z","volume":"30","author":"J Ohya","year":"2021","unstructured":"Ohya J, Kawamura N, Takasawa E, et al. Pelvic incidence change on the operating table. Eur Spine J. 2021;30(9):2473\u20139.","journal-title":"Eur Spine J"},{"issue":"9","key":"7625_CR16","doi-asserted-by":"publisher","first-page":"2103","DOI":"10.1007\/s00586-019-06027-9","volume":"28","author":"H Oba","year":"2019","unstructured":"Oba H, Ebata S, Takahashi J, et al. Changes in pelvic anatomy after long corrective fusion using iliac screws for adult spinal deformity. Eur Spine J. 2019;28(9):2103\u201311.","journal-title":"Eur Spine J"},{"issue":"9","key":"7625_CR17","doi-asserted-by":"publisher","first-page":"2486","DOI":"10.1007\/s00586-020-06658-3","volume":"30","author":"C Wei","year":"2021","unstructured":"Wei C, Zuckerman S, Cerpa M, et al. Can pelvic incidence change after spinal deformity correction to the pelvis with S2-alar-iliac screw. Eur Spine J. 2021;30(9):2486\u201394.","journal-title":"Eur Spine J"},{"issue":"6","key":"7625_CR18","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1111\/j.1469-7580.2012.01564.x","volume":"221","author":"A Vleeming","year":"2021","unstructured":"Vleeming A, Schuenke MD, Masi AT, et al. The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat. 2021;221(6):537\u201367.","journal-title":"J Anat"},{"issue":"1","key":"7625_CR19","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1007\/s00586-018-5738-2","volume":"28","author":"C Tseng","year":"2019","unstructured":"Tseng C, Liu Z, Bao H, et al. Long fusion to the pelvis with S2-alar-iliac screws can induce changes in pelvic incidence in adult spinal deformity patients: analysis of predictive factors in a retrospective cohort. Eur Spine J. 2019;28(1):138\u201345.","journal-title":"Eur Spine J"},{"issue":"8","key":"7625_CR20","doi-asserted-by":"publisher","first-page":"1788","DOI":"10.1007\/s11999-016-4787-2","volume":"474","author":"CI Esposito","year":"2016","unstructured":"Esposito CI, Miller TT, Kim HJ, et al. Dose degenerative lumbar spine disease influence femoroacetabular flexion in patients undergoing total hip arthroplasty? Clin Orthop Relat Res. 2016;474(8):1788\u201397.","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"7625_CR21","doi-asserted-by":"publisher","first-page":"322","DOI":"10.4055\/cios.2018.10.3.322","volume":"10","author":"MS Moon","year":"2018","unstructured":"Moon MS, Lee H, Kim ST, et al. Spinopelvic orientation on radiographs in various body postures: upright standing, chair sitting, Japanese style kneel sitting, and Korean style cross-legged sitting. Clin Orthop Surg. 2018;10(3):322\u20137.","journal-title":"Clin Orthop Surg"},{"issue":"6","key":"7625_CR22","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1007\/s00776-012-0281-1","volume":"17","author":"K Endo","year":"2012","unstructured":"Endo K, Suzuki H, Nishimura H, et al. Sagittal lumbar and pelvic alignment in the standing and sitting positions. J Orthop Sci. 2012;17(6):682\u20136.","journal-title":"J Orthop Sci"},{"issue":"4","key":"7625_CR23","doi-asserted-by":"publisher","first-page":"290","DOI":"10.22603\/ssrr.2017-0074","volume":"2","author":"H Suzuki","year":"2018","unstructured":"Suzuki H, Endo K, Sawaji Y, et al. Radiographic assessment of spinopelvic sagittal alignment from sitting to standing position. Spine Surg Relat Res. 2018;2(4):290\u20133.","journal-title":"Spine Surg Relat Res"},{"issue":"2","key":"7625_CR24","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1080\/00016470510030517","volume":"76","author":"S Jacobsen","year":"2005","unstructured":"Jacobsen S, Sonne-holm S, Soballe K, et al. Hip dysplasia and osteoarthrosis: a survey of 4151 subjects from the osteoarthrosis substudy of the Copenhagen City heart study. Acuta Orthop. 2005;76(2):149\u201358.","journal-title":"Acuta Orthop"},{"issue":"3","key":"7625_CR25","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1002\/art.20886","volume":"52","author":"M Rejiman","year":"2005","unstructured":"Rejiman M, Hazes JM, Pols HA, et al. Acetabular dysplasia predicts incident osteoarthritis of the hip: the Rotteerdam study. Arthritis Rheum. 2005;52(3):787\u201393.","journal-title":"Arthritis Rheum"},{"issue":"11","key":"7625_CR26","doi-asserted-by":"publisher","first-page":"3081","DOI":"10.1007\/s00586-022-07344-2","volume":"31","author":"T Kozaki","year":"2022","unstructured":"Kozaki T, Hashizume H, Taniguchi T, et al. S2 alar-iliac screw loosening as a preventive factor for hip joint osteoarthritis after spinal deformity surgery: a case-control study. Eur Spine J. 2022;31(11):3081\u20138.","journal-title":"Eur Spine J"},{"issue":"8","key":"7625_CR27","doi-asserted-by":"publisher","first-page":"1368","DOI":"10.1002\/art.23094","volume":"57","author":"AM Lievense","year":"2007","unstructured":"Lievense AM, Koes BW, Verhaar JA, et al. Prognosis of hip pain in general practice: a prospective follow-up study. Arthritis Rheum. 2007;57(8):1368\u201374.","journal-title":"Arthritis Rheum"},{"issue":"7","key":"7625_CR28","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1002\/art.24641","volume":"61","author":"AA Wright","year":"2009","unstructured":"Wright AA, Cook C, Abbott JH. Variables associated with the progressionof hip osteoarthritis: a systematic review. Arthritis Rheum. 2009;61(7):925\u201336.","journal-title":"Arthritis Rheum"},{"issue":"6","key":"7625_CR29","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1302\/0301-620X.106B1.BJJ-2023-0640.R1","volume":"106-B","author":"H Tang","year":"2024","unstructured":"Tang H, Guo S, Ma Z, et al. A patient-specific algorithm for predicting the standing sagittal pelvic tilt one year after total hip arthroplasty, a preliminary validation study. Bone Joint J. 2024;106-B(6):19\u201327.","journal-title":"Bone Joint J"},{"issue":"23","key":"7625_CR30","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.1097\/BRS.0000000000002693","volume":"43","author":"S Inami","year":"2018","unstructured":"Inami S, Moridaira H, Takeuchi D, et al. Postoperative status of global sagittal alignment with compensation in adult spinal deformity. Spine. 2018;43(23):1631\u20137.","journal-title":"Spine"},{"issue":"11","key":"7625_CR31","doi-asserted-by":"publisher","first-page":"1427","DOI":"10.1136\/ard.2003.016477","volume":"63","author":"M Reijiman","year":"2003","unstructured":"Reijiman M, Hazes JMW, Pols HAP, et al. Validity and reliability of three definition of hip osteoarthritis: cross section and longitudinal approach. Ann Rheum Dis. 2003;63(11):1427\u201333.","journal-title":"Ann Rheum Dis"},{"issue":"6","key":"7625_CR32","doi-asserted-by":"publisher","first-page":"964","DOI":"10.1016\/j.spinee.2019.11.014","volume":"20","author":"MY Hasan","year":"2020","unstructured":"Hasan MY, Liu G, Wong HK, et al. Postoperative complications of S2AI versus iliac screw in spinopelvic fixation: a meta-analysis and recent trends review. Spine J. 2020;20(6):964\u201372.","journal-title":"Spine J"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-024-07625-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12891-024-07625-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-024-07625-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T06:04:34Z","timestamp":1719554674000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-024-07625-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,28]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["7625"],"URL":"https:\/\/doi.org\/10.1186\/s12891-024-07625-5","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,28]]},"assertion":[{"value":"29 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Review Board of Dokkyo Medical University (Approval code: 29027). All the patients provided informed consent for inclusion in this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors have received written consent from participants to publish individual patient data (images).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"504"}}