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Updated: Nov 27, 2025

Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
Published on: February 17, 2023
Exploring the correlation between increased femoral anteversion and pars interarticularis defects in the lumbar
James Kho1, Siddharth Thaker2, Christine Azzopardi1
1Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK.
Introduction:
Altered femoral version can result in lumbar hyperlordosis and hip spine syndrome. We conducted a retrosepctive study to evalute if there is correlation between altered femoral version and pars defect.
Materal And Methods:
A cohort of pateints with CT rotational profile and MR of lumbar spine over a 12 year period were included in the sutdy. The femoral version was calculated and the MR was evaluated for pars defect.
Results:
130 patients had CT rotational profile and MR of lumbar spine with a female predomiannce (94 female and 36 males) and average age of 24.3 years. There were 6 patients with bilateral pars defects involving L5 (3 with increased femoral version, 2 with decreased version and one had normal version).
Conclusion:
Increased femoral anterversion is not associated with increased prevalence of pars defects.
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