A challenge on Orthopedic Sciences: The Influence of Spinal Disease and Deformities on Total Hip Arthroplasty: A Review on Literature

Background: Adult degenerative disorders of hip and spine are common. The recent studies inconsistently havediscussed about the influence of spinal disorders on total hip arthroplasty (THA). In this review, we discussed clearlyabout these relationships and their effects on the most appropriate position of the acetabular component.Methods: We searched on databases and evaluated the articles about spinopelvic parameters in patients with spinaldisorders who needed THA.Results: The literature search showed a prevalence of 21.2 % to 60.4% of low back pain (LBP) in patients, whoare candidates for primary THA. The coexistence of degenerative disease of hip and spine or other diseases cansignificantly alter spinopelvic alignment. Accordingly, pain management or any other treatment in these patientsrequires proper understanding about the biomechanics of the hip and the spinal and their corresponding interactions.In this review article, we discussed about these interactions and their effects on the most appropriate position of theacetabular component.Conclusion: We concluded that counseling sessions among patients, orthopedic surgeons and spine surgeonscan result in obtaining the best outcome for these individuals.Level of evidence: I