Hip-Spine Syndrome in Patients With Spinal Cord Injuries: Hyperlordosis Associated With Severe Hip Flexion Contracture

Rhee, Isaac; Do, Woo Sung; Park, Kun-Bo; Park, Byoung Kyu; Kim, Hyun Woo

doi:10.3389/fped.2021.646107

Cited by 3 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Progressive kyphosis at the affected vertebra is frequent, and the frequency is higher after laminectomy and in patients receiving conservative treatment for unstable spinal fractures. (20) In our dataset, over 50 percent of the patients who had posterior fusion also had the lamina of the affected vertebra removed. However, there was no difference between those who received a laminectomy and those who did not in terms of the neurological result or delayed deformity.…”

Section: Discussionmentioning

confidence: 95%

Clinical Characteristics of Pediatric Thoracolumbar Spinal Injuries: A Retrospective Study

Shah¹,

Ullah²,

Memon³

et al. 2022

PJMHS

View full text Add to dashboard Cite

Aim: To determine the clinical characteristics of pediatric thoracolumbar spinal injuries Study design: A retrospective study Place and Duration:This study was conducted at Pakistan Institute of Medical Sciences Islamabad from Jan 2021 to Jan 2022 Methodology:An analysis of pediatric thoracolumbar (TL) injuries was conducted to determine the epidemiology, risk factors, mechanisms, patterns, and management of pediatric TL injuries. A plain radiograph (anteroposterior and lateral view) was taken on all patients for diagnosis. In the case of surgical intervention or doubtful skeletal abnormalities observed on plain radiographs, thin-slice computerized tomography (CT) scans were obtained. In patients with neurological deficits or those who were scheduled for surgical intervention, magnetic resonance imaging (MRI) was performed. Results:A total of 90 children were treated at our institute for TL spine injuries, representing 2% of all spine injuries. Males predominate (3:1) with a mean age of 15.9 plus 3.2 years (range: 2–18 years). Falling from a height was the most common mode of injury. Most children (71.1%) sustained injuries after falling from height, 18/90 (20%) after a motor vehicle accident, and the rest after a heavy object fell over their neck. A total of 27.8% of the patients (the majority) had Grade A injuries. The most common spinal level injured was the lumbar spine (53.3%), and fractures accounted for 93.3% of all injuries. A total of 18/90 (20%) children underwent surgical fixation. There were 21 children available for follow-up, of which 13 (62%) were ambulant. Conclusion:The lumbar area is most affected by TL injuries, which are uncommon and most often occur in youth older than 10 years. When necessary, a surgical fusion of the affected vertebrae is a secure and reliable procedure. Keywords: Pediatrics, epidemiology, spine, thoracolumbar, injury

show abstract

Section: Discussionmentioning

confidence: 95%

Clinical Characteristics of Pediatric Thoracolumbar Spinal Injuries: A Retrospective Study

Shah¹,

Ullah²,

Memon³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…They advised the spine surgeon to treat lumbar hyperlordosis associated with SCI with particular consideration for hip pathology. [11] The fundamental idea of "e quilibre e conomique" during standing is that a big PI (Pelvic Incidence) is linked to a larger SS (Sacral Slope) and a prominent LL (Lumbar Lordosis), whereas a low PI is linked to a smaller SS and a subtle LL. [12,13,14] Patients with a C7 plumb line more than 6 cm, a GL greater than 6 cm, and a C7 plumb line anterior to the GL (Gravity line) had an increased probability of having a bad ODI (> 34).…”

Section: Discussionmentioning

confidence: 99%

Improvement in Pre-Operative Abnormal Posture After Total Knee Arthroplasty for Knee-Hip-Spine Syndrome

Riaz Baloch,

Ur Rahman,

Sohail Rafi

et al. 2023

SVOAOR

View full text Add to dashboard Cite

A retrospective cohort study aims at assessing the effectiveness of total knee arthroplasty (TKA) in treating pre-operative aberrant posture in a patient with Knee-hip-spine syndrome. Preoperative and post-operative at (6 and 12 months) assessments, were done by combining clinical evaluations, radiographic analyses, and posture assessments, KSS, HOOS and ODI were used to conduct a thorough analysis of a cohort of 62 patients receiving TKA for KHSS. The main goal was to assess how TKA affected individuals who already had aberrant posture in terms of knee, hip, and spine alignment. Our findings showed that after TKA, pre-operative aberrant posture significantly improved in a way that was clinically meaningful. Significant realignment of the knee, hip, and spine was shown by radiographic data, demonstrating the TKA's all-encompassing remedial effect on the musculoskeletal system. Clinical evaluations correlated to the radiological results, with patients expressing better functional results and more effective postoperative pain alleviation which were demonstrated by the HOOS, KSS and ODI scores. The research highlights the advantages of TKA that extend beyond the knee joint by indicating a favourable link between patient-reported improvements and the treatment of aberrant posture. Our study concluded that, in the treatment of knee osteoarthritis, hip dysfunction, and spinal problems, TKA significantly improves preoperative aberrant posture in patients with KHSS. Following total knee arthroplasty (TKA), the realignment of the lower limbs has a role in improving the balance of the spine, which in turn reduces disability and improves the quality of life for patients. The best surgical methods and post-operative care plans must be determined via more study in order to optimize the advantages of TKA for patients with KHSS.

show abstract

Clinical characteristics analysis of pediatric spinal cord injury without radiological abnormality in China: a retrospective study

Liu,

Fan,

et al. 2024

BMC Pediatr

View full text Add to dashboard Cite

Purpose This study aims to analyze the clinical characteristics of Chinese children with spinal cord injury (SCI) without radiographic abnormality (SCIWORA) and explore their contributing factors and mechanisms of occurrence. Methods A retrospective analysis was conducted on the clinical data of pediatric patients diagnosed with SCIWORA from January 2005 to May 2020. Epidemiological, etiological, mechanistic, therapeutic, and outcome aspects were analyzed. Results A total of 47 patients with SCIWORA were included in this study, comprising 16 males and 31 females. The age range was 4 to 12 years, with an average age of 7.49 ± 2.04 years, and 70% of the patients were below eight. Sports-related injuries constituted 66%, with 70% attributed to dance backbend practice. Thoracic segment injuries accounted for 77%. In the American Spinal Injury Association (ASIA) classification, the combined proportion of A and B grades accounted for 88%. Conservative treatment was chosen by 98% of the patients, with muscle atrophy, spinal scoliosis, hip joint abnormalities, and urinary system infections being the most common complications. Conclusion SCIWORA in Chinese children is more prevalent in those under eight years old, with a higher incidence in females than males. Thoracic spinal cord injuries are predominant, dance backbend as a primary contributing factor, and the social environment of “neijuan” is a critical potential inducing factor. Furthermore, the initial severity of the injury plays a decisive role in determining the prognosis of SCIWORA.

show abstract

Hip-Spine Syndrome in Patients With Spinal Cord Injuries: Hyperlordosis Associated With Severe Hip Flexion Contracture

Cited by 3 publications

References 30 publications

Clinical Characteristics of Pediatric Thoracolumbar Spinal Injuries: A Retrospective Study

Clinical Characteristics of Pediatric Thoracolumbar Spinal Injuries: A Retrospective Study

Improvement in Pre-Operative Abnormal Posture After Total Knee Arthroplasty for Knee-Hip-Spine Syndrome

Clinical characteristics analysis of pediatric spinal cord injury without radiological abnormality in China: a retrospective study

Contact Info

Product

Resources

About