Shu CK, Liang HS, Bai XW, Deng Y, Jiang QL. Assessment of the hip-spine relationship in total hip arthroplasty for childhood hip disorders sequelae. World J Orthop 2025; 16(1): 99383 [PMID: 39850032 DOI: 10.5312/wjo.v16.i1.99383]
Corresponding Author of This Article
Qi-Long Jiang, MD, PhD, Professor, Department of Orthopaedic Surgery, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, No. 19 Fuhua Road, Yuzhong District, Chongqing 400043, China. jys19870607@qq.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Cong-Ke Shu, Hai-Song Liang, Xin-Wen Bai, Yu Deng, Qi-Long Jiang, Department of Orthopaedic Surgery, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing 400043, China
Co-first authors: Cong-Ke Shu and Hai-Song Liang.
Co-corresponding authors: Yu Deng and Qi-Long Jiang.
Author contributions: Shu CK performed literature search and prepared the first draft of the manuscript; Liang HS revised the early version of the manuscript; Bai XW was responsible for oversight and coordination; Deng Y was responsible for similarity check, audio core preparation and English language editing; Jiang QL revised and submitted the manuscript; All authors approved the final version of the article for publication. Both Shu CK and Liang HS have made crucial and indispensable contributions towards the completion of the paper and thus qualified as the co-first authors. Both Deng Y and Jiang QL contributed to the final reviewing, and submitting the manuscript as the co-corresponding authors.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi-Long Jiang, MD, PhD, Professor, Department of Orthopaedic Surgery, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, No. 19 Fuhua Road, Yuzhong District, Chongqing 400043, China. jys19870607@qq.com
Received: July 21, 2024 Revised: December 3, 2024 Accepted: December 18, 2024 Published online: January 18, 2025 Processing time: 175 Days and 22 Hours
Abstract
In this article, we comment on the article by Oommen et al. Oommen et al provided a comprehensive overview of the management of hip centre restoration in total hip arthroplasty (THA) for childhood hip disorder sequelae. Given the developmental disparity in this population, specific preoperative planning is an essential prerequisite for the success of THA procedures. In the review by Oommen et al, assessments of acetabular and femoral anatomic variations were fully described. However, spinal malalignment and stiffness are common in physical and radiological examinations and should be taken into careful consideration when planning surgical procedures. Poor outcomes of THA for patients with comorbid hip and spinopelvic pathologies have been widely reported, especially for hips with childhood disorder sequelae. Therefore, in this editorial, we would like to emphasize the need for a thorough hip-spine evaluation of patients with childhood hip disorder sequelae before THA.
Core Tip: In patients with childhood hip disorder sequelae, spinal malalignment and stiffness are common in physical and radiological examinations and should be carefully considered during planning of total hip arthroplasty. A comprehensive assessment of acetabular, femoral, and spinopelvic pathologies is crucial. The anterior pelvic plane and sacral slope on standing and sitting lateral radiographs could provide useful information for assessing the hip-spine relationship. Preoperative assessment and hip-spine classification will help plan component positions.
