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Title: Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis
Authors: Tateuchi, Hiroshige  kyouindb  KAKEN_id
Akiyama, Haruhiko
Goto, Koji
So, Kazutaka
Kuroda, Yutaka
Ichihashi, Noriaki
Author's alias: 建内, 宏重
黒田, 隆
市橋, 則明
Keywords: Hip osteoarthritis
Spine
Alignment
Mobility
Progression
Issue Date: Mar-2018
Publisher: Elsevier BV
Journal title: Osteoarthritis and Cartilage
Volume: 26
Issue: 3
Start page: 397
End page: 404
Abstract: Objective: To identify predictors of radiographic progression of hip osteoarthritis (OA) over 12 months among functional hip impairments and spinal alignment and mobility. Design: Fifty female patients with secondary hip OA, excluding those with end-stage hip OA, participated in this prospective cohort study. Joint space width (JSW) of the hip was measured at baseline and 12 months later. With radiographic progression of hip OA over 12 months (>0.5 mm in JSW) as dependent variable, logistic regression analyses were performed to identify predictors for hip OA progression among functional impairments of the hip and spine with and without adjustment for age, body mass index (BMI), and minimum JSW at baseline. The independent variables were hip pain, Harris hip score, hip morphological parameters, hip passive range of motion and muscle strength, and alignment and mobility of the thoracolumbar spine at baseline. Results: Twenty-one (42.0%) patients demonstrated radiographic progression of hip OA. Multivariable logistic regression analysis showed that larger anterior inclination of the spine in standing position (adjusted OR [95% CI], 1.37 [1.04–1.80]; P = 0.028) and less thoracolumbar spine mobility (adjusted OR [95% CI], 0.96 [0.92–0.99]; P = 0.037) at baseline were statistically significantly associated with radiographic progression of hip OA, even after adjustment for age, BMI, and minimum JSW. Conclusions: The findings suggest that spinal alignment and mobility should be considered when assessing risk and designing preventive intervention for radiographic progression of secondary hip OA.
Description: 姿勢の悪化と脊柱の柔軟性低下が変形性股関節症の進行に影響. 京都大学プレスリリース. 2017-12-26.
Rights: © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
The full-text file will be made open to the public on 1 March 2019 in accordance with publisher's 'Terms and Conditions for Self-Archiving'
This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。
URI: http://hdl.handle.net/2433/230535
DOI(Published Version): 10.1016/j.joca.2017.12.005
PubMed ID: 29269327
Related Link: http://www.kyoto-u.ac.jp/ja/research/research_results/2017/171218_1.html
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