Advances in Orthopedics

Abnormal Posture Relating to the Alignment of Spine and Lower Extremity


Publishing date
01 May 2019
Status
Published
Submission deadline
11 Jan 2019

Lead Editor

1Nippon Medical School, Tokyo, Japan

2Bukkyo University, Kyoto, Japan

3Kyoto Kujo Hospital, Kyoto, Japan


Abnormal Posture Relating to the Alignment of Spine and Lower Extremity

Description

In an aging society, abnormal posture with gait disorder is one of the critical issues, which results in the decreasing of activity of daily living (ADL) and quality of life (QOL). The abnormal posture has been basically considered to occurr from the adult spinal deformity (ASD) with the trunk muscle weakness and spondylotic change. Spinal instrumentation has been applied to correct the spinal malalignment operatively; however, the indication and target of the alignment in surgical procedures are still controversial. Because the body balance and posture are thought to be an inverted pendulum, which starts from the feet as a fulcrum, connects to lower extremities and spine, and ends in head, all these factors involving spine may affect the varying of the posture with age. The hip-spine syndrome has been defined as the abnormal posture and the low back pain with hip disorders. On the contrary, total hip replacement could have a potential to repair hip disorders and improve the posture. It still needs more discussion about the operative approach in the hip-spine syndrome. Similar to that, the knee-spine syndrome has been discussed as a reason of the abnormal posture.

Osteoarthritis of the knee is one of the common diseases for the middle age and older people. Because of the limitation of the knee range of motion and the malalignment with the joint degeneration, many surgical procedures have been developed, that is, total knee arthroplasty (TKA), unicompartmental arthroplasty (UKA), and around knee osteotomies (AKO). All techniques show good clinical outcomes; however, the proper use of each procedure is still unclear. Although the targets of the alignments in lower extremities are different in each procedure, the optimal alignment and posture in elder people are still under debate.

With these backgrounds, in this special issue, we would like to focus on the posture deformity, the correction of the malalignment with surgical procedures, and what is thought to be the best alignment for the lower extremities and spine.

Potential topics include but are not limited to the following:

  • Principles of adult spinal deformity (ASD)
  • Principles of hip-spine syndrome
  • Principles of knee-spine syndrome
  • Various concepts of alignments in hip and knee arthroplasties
  • Target of alignments and clinical results in pelvis, hip joint, and around knee osteotomies (AKO)
  • Effect of knee surgeries on abnormal posture

Articles

  • Special Issue
  • - Volume 2019
  • - Article ID 8460364
  • - Editorial

Abnormal Posture Relating to the Alignment of Spine and Lower Extremity

Yasushi Oshima | Nobuyoshi Watanabe | ... | Mitsuhiro Kawata
  • Special Issue
  • - Volume 2019
  • - Article ID 8484938
  • - Review Article

Knee–Hip–Spine Syndrome: Improvement in Preoperative Abnormal Posture following Total Knee Arthroplasty

Yasushi Oshima | Nobuyoshi Watanabe | ... | Shinro Takai
  • Special Issue
  • - Volume 2019
  • - Article ID 6293916
  • - Research Article

A Preoperative Analytical Model for Patient-Specific Impingement Analysis in Total Hip Arthroplasty

Yolanda Gu | Jim Pierrepont | ... | Jonathan Baré
  • Special Issue
  • - Volume 2019
  • - Article ID 5804642
  • - Review Article

A Dynamic Model of Hip Joint Biomechanics: The Contribution of Soft Tissues

Joseph F. Fetto
  • Special Issue
  • - Volume 2019
  • - Article ID 6496901
  • - Review Article

Possible Improvement of the Sagittal Spinopelvic Alignment and Balance through “Locomotion Training” Exercises in Patients with “Locomotive Syndrome”: A Literature Review

Takashi Yurube | Masaaki Ito | ... | Kotaro Nishida
  • Special Issue
  • - Volume 2019
  • - Article ID 9757369
  • - Research Article

Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics

Du Hyun Ro | Joonhee Lee | ... | Myung Chul Lee
  • Special Issue
  • - Volume 2019
  • - Article ID 9492486
  • - Clinical Study

Clinical and Radiological Outcomes of Corrective Surgery on Adult Spinal Deformity Patients: Comparison of Short and Long Fusion

Koichiro Ono | Kazuo Ohmori | Takeshi Hori
  • Special Issue
  • - Volume 2019
  • - Article ID 5193945
  • - Research Article

Prevalence of Anterior Femoral Neck Osteophyte in a Total Hip Arthroplasty Population: Analysis of Preoperative Surgical Plans

Adam M. Katchky | Mitchell L. Smith | ... | Jonathan V. Baré
  • Special Issue
  • - Volume 2019
  • - Article ID 7656878
  • - Review Article

Compensatory Function of the Subtalar Joint for Lower Extremity Malalignment

Kensei Yoshimoto | Masahiko Noguchi | ... | Yuki Nasu
  • Special Issue
  • - Volume 2019
  • - Article ID 8605674
  • - Review Article

Intra- and Extra-Articular Deformity of Lower Limb: Tibial Condylar Valgus Osteotomy (TCVO) and Distal Tibial Oblique Osteotomy (DTOO) for Reconstruction of Joint Congruency

Y. Watanabe | N. Takenaka | ... | T. Teramoto
Advances in Orthopedics
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Acceptance rate15%
Submission to final decision68 days
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CiteScore2.500
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Impact Factor1.3
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