{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T22:17:56Z","timestamp":1785795476201,"version":"3.56.0"},"reference-count":56,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T00:00:00Z","timestamp":1693699200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Despite the high success rate of primary total hip replacement (THR), a significant early revision rate remains, which is largely attributed to instability and dislocations. Despite the implants being placed according to the safe zone philosophy of Lewinnek, occurrence of THR dislocation is not an uncommon complication. Large diagnostic and computational model studies have shown variability in patients\u2019 mobility based on the individual anatomic and functional relationship of the hip\u2013pelvis\u2013spine complex. The absolute and relative position of hip replacement components changes throughout motion of the patient\u2019s body. In the case of spinopelvic pathology such as spine stiffness, the system reaches abnormal positional states, as shown with computerized models. The clinical result of such pathologic hip positioning is edge loading, implant impingement, or even joint dislocation. To prevent such complications, surgeons must change the dogma of single correct implant positioning and take into account patients\u2019 individualized anatomy and function. It is essential to broaden the standard diagnostics and their anatomical interpretation, and correct the pre-operative surgical planning. The need for correct and personalized implant placement pushes forward the development and adaptation of novel technologies in THR, such as robotics. In this current concepts narrative review, we simplify the spinopelvic biomechanics and pathoanatomy, the relevant anatomical terminology, and the diagnosis and management algorithms most commonly used today.<\/jats:p>","DOI":"10.3390\/medicina59091591","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T02:14:50Z","timestamp":1693793690000},"page":"1591","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Current Concepts in Diagnosis and Management of Patients Undergoing Total Hip Replacement with Concurrent Disorders of Spinopelvic Anatomy: A Narrative Review"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5201-038X","authenticated-orcid":false,"given":"Richard","family":"Ambrus","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Nemocnica Bory Penta Hospitals International, I. Kadlecika 2, Lamac, 841 03 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Dou\u0161a","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Kralovske Vinohrady University Hospital, 3rd Faculty of Medicine Charles University, FNKV Srobarova 50, 100 34 Prague, Czech Republic"},{"name":"Department of Traumatology and Orthopaedics, Ostrava University Hospital, Faculty of Medicine University of Ostrava, FNO 17. Listopadu Street, Poruba, 708 52 Ostrava, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jozef","family":"Alm\u00e1si","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Nemocnica Bory Penta Hospitals International, I. Kadlecika 2, Lamac, 841 03 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3220-7455","authenticated-orcid":false,"given":"Boris","family":"\u0160te\u0148o","sequence":"additional","affiliation":[{"name":"II. University Department of Orthopaedic and Trauma Surgery, University Hospital Bratislava and Faculty of Medicine, Comenius University Bratislava, Antolska 11, Petrzalka, 851 01 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,3]]},"reference":[{"key":"ref_1","first-page":"e22.00182","article-title":"Bibliometric Analysis of Spinopelvic Alignment in Total Hip Arthroplasty","volume":"7","author":"Harrer","year":"2023","journal-title":"J. Am. Acad. Orthop. Surg. Glob. Res. 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