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Vol. 13, Art. 36 (pp. 446-455)    |    2012       

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Sagittal spinal-pelvic relationships in patients with relative cranial removal of one of the heads femoral

V.M. Shapovalov, V.A. Averkiev, A.L. Kudyashev, V.A. Artyukh, F.V. Miroevsky

Federal State Institution "Military-Medical Academy. S.M. Kirov's" Defense Ministry.

Brief summary

To assess the clinical symptoms and parameters of sagittal spinal-pelvic complex in patients with relative cranial displacement Niemi one of the femoral heads were examined in 8 patients. Three of them - with dysplastic coxarthrosis II Art. by Crowe, three of them - from virtually aseptic necrosis of the femoral heads (ANGBK) IV Art. and two - to force the relymi traumatic posterior dislocations upper femoral indirect TI. Analysis of the results of physical examination, conducted with The use of visual analog questionnaires indicates significant dimensional reduction of quality of life of patients with the category under consideration. Lead-schimi clinical symptoms were pain and limitation of movement in the affected hip and lumbar spine, lameness and a violation of posture. Calculation of the radiological parameters of attests to compensate for changes in sagittal spinal-pelvic relationship by tilting the pelvis anteriorly and its rotation with respect to femoral head, the formation of the lumbar hyperlordosis and the displacement axis of the spine posteriorly.


Key words

spinal-pelvic balance, arthrosis of the hip joint, sagittal spinal-pelvic relationships

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