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Open Access 15-12-2023 | Hip Dysplasia | Original Article

Greater pelvic obliquity in adolescent idiopathic scoliosis combined with hip dysplasia

Authors: Xiaoxiong Zhao, Aixing Pan, Yong Hai

Published in: European Spine Journal | Issue 2/2024

Abstract

Background

Adolescent idiopathic scoliosis (AIS) is a spinal deformity that affects adolescents and poses a challenging public health problem. Compared to the general population, adolescents with AIS have a higher prevalence of hip dysplasia. However, the mechanisms underlying the impact of hip dysplasia on the coronal balance of the spine remain poorly understood. We hypothesized that the combination of AIS with hip dysplasia would exacerbate coronal imbalance.

Methods

We retrospectively analyzed the medical records and radiographs of adolescents diagnosed with AIS between 2015 and 2020. Participants were divided into two groups: those with hip dysplasia and those without. We recorded parameters related to the coronal deformity of the spine, sacral and pelvic obliquity, and center edge angle (CEA). We investigated differences in these parameters in those with and without hip dysplasia and analyzed their relationships in those with combined AIS and hip dysplasia.

Results

A total of 103 adolescents were included, 36 with hip dysplasia and 67 without. Those with hip dysplasia had significantly higher sacroiliac discrepancy (SID) compared to those without (t = − 2.438, P = 0.017). In adolescents with hip dysplasia, only iliac obliquity angle (IOA) was significantly correlated with SID (r = − 0.803, P < 0.001), with a linear relationship between them (r² = 0.645, P < 0.001).

Conclusions

The incidence of hip dysplasia is higher in the AIS population. In adolescents with combined AIS and hip dysplasia, pelvic obliquity is greater, potentially contributing to the increased prevalence of low back pain.

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Title: Greater pelvic obliquity in adolescent idiopathic scoliosis combined with hip dysplasia
Authors: Xiaoxiong Zhao
Aixing Pan
Yong Hai
Publication date: 15-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Hip Dysplasia
Adolescent Idiopathic Scoliosis
Back Pain
Back Pain
Back Pain
Published in: European Spine Journal / Issue 2/2024
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-023-08055-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Greater pelvic obliquity in adolescent idiopathic scoliosis combined with hip dysplasia

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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