rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2019-474-477rsp-2762Research ArticleРЕВМООРТОПЕДИЯ И РЕАБИЛИТАЦИЯORTHOPEDIC RHEUMATOLOGY AND REHABILITATIONОптимизация тактики хирургического лечения больных с коксовертебральным синдромом. Клиническое наблюдениеOPTIMIZATION OF SURGICAL TREATMENT TACTICS FOR PATIENTS WITH HIP-SPINE SYNDROME: A CLINICAL CASEКаргальцевА. А.KargaltsevA. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

alexk10001@gmail.comМакаровМ. А.MakarovM. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

АмирджановаВ. Н.AmirdzhanovaV. N.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation201916092019574474477Copyright © Каргальцев А.А., Макаров М.А., Амирджанова В.Н., 20192019Каргальцев А.А., Макаров М.А., Амирджанова В.Н.Kargaltsev A.A., Makarov M.A., Amirdzhanova V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/2762

Коксовертебральный синдром (КВС; в зарубежной литературе – hip-spine syndrome) – сочетание поражения тазобедренного сустава в виде остеоартрита (ОА) и поясничного отдела позвоночника в виде стеноза (центрального, фораменального) и/или спондилолистеза. У пациентов с КВС основная трудность заключается в правильной диагностике и определении тактики хирургического или консервативного лечения. Представлено клиническое наблюдение пациентки с КВС, алгоритм обследования для определения значимости патологии периферических нервов и ОА тазобедренных суставов, обсуждается выбор тактики хирургического лечения.

Coexisting hip osteoarthritis (OA) and lumbar spinal stenosis (central and foraminal) and/or spondylolisthesis is called a hip-spine syndrome (HSS). The central problem is correctly diagnosing and determining the tactics of surgical or medical treatment for patients with HSS. The paper describes a clinical case of a female patient with HSS and an examination algorithm for determining the significance of peripheral neuropathy and hip OA and discusses the choice of surgical treatment tactics.

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Spine. 2008;34(1):E27-E32. doi: 10.1097/BRS.0b013e31818b8882Sembrano JN, Polly DW Jr. How Often Is Low Back Pain Not Coming From the Back. Spine. 2008;34(1):E27-E32. doi: 10.1097/BRS.0b013e31818b8882Sembrano JN, Polly DW Jr. How Often Is Low Back Pain Not Coming From the Back. Spine. 2008;34(1):E27-E32. doi: 10.1097/BRS.0b013e31818b8882Kleiner JB, Thorne RP, Curd JG. The value of bupivicaine hip injection in the differentiation of coxarthrosis from lower extremity neuropathy. J Rheumatol. 1991;18(3):422-7.Kleiner JB, Thorne RP, Curd JG. The value of bupivicaine hip injection in the differentiation of coxarthrosis from lower extremity neuropathy. J Rheumatol. 1991;18(3):422-7.Kleiner JB, Thorne RP, Curd JG. The value of bupivicaine hip injection in the differentiation of coxarthrosis from lower extremity neuropathy. J Rheumatol. 1991;18(3):422-7.Kleiner JB, Thorne RP, Curd JG. The value of bupivicaine hip injection in the differentiation of coxarthrosis from lower extremity neuropathy. J Rheumatol. 1991;18(3):422-7.Crawford RW, Gie GA, Ling RS, Murray DW. Diagnostic value of intraarticular anaesthetic in primary osteoarthritis of the hip. J Bone Joint Surg Br. 1998;80(2):279-81. doi: 10.1302/0301-620X.80B2.8299Crawford RW, Gie GA, Ling RS, Murray DW. Diagnostic value of intraarticular anaesthetic in primary osteoarthritis of the hip. J Bone Joint Surg Br. 1998;80(2):279-81. doi: 10.1302/0301-620X.80B2.8299Crawford RW, Gie GA, Ling RS, Murray DW. Diagnostic value of intraarticular anaesthetic in primary osteoarthritis of the hip. J Bone Joint Surg Br. 1998;80(2):279-81. doi: 10.1302/0301-620X.80B2.8299Crawford RW, Gie GA, Ling RS, Murray DW. Diagnostic value of intraarticular anaesthetic in primary osteoarthritis of the hip. J Bone Joint Surg Br. 1998;80(2):279-81. doi: 10.1302/0301-620X.80B2.8299Chu CR, Coyle CH, Chu CT, et al. In vivo effects of single intraarticular injection of 0.5% bupivacaine on articular cartilage. J Bone Joint Surg Am. 2010;92(3):599-608. doi: 10.2106/JBJS.I.00425Chu CR, Coyle CH, Chu CT, et al. In vivo effects of single intraarticular injection of 0.5% bupivacaine on articular cartilage. J Bone Joint Surg Am. 2010;92(3):599-608. doi: 10.2106/JBJS.I.00425Chu CR, Coyle CH, Chu CT, et al. In vivo effects of single intraarticular injection of 0.5% bupivacaine on articular cartilage. J Bone Joint Surg Am. 2010;92(3):599-608. doi: 10.2106/JBJS.I.00425Chu CR, Coyle CH, Chu CT, et al. In vivo effects of single intraarticular injection of 0.5% bupivacaine on articular cartilage. J Bone Joint Surg Am. 2010;92(3):599-608. doi: 10.2106/JBJS.I.00425Kuittinen P, Sipola P, Aalto TJ, et al. Correlation of lateral stenosis in MRI with symptoms, walking capacity and EMG findings in patients with surgically confirmed lateral lumbar spinal canal stenosis. BMC Musculoskelet Dis. 2014;15:247. doi: 10.1186/1471-2474-15-247Kuittinen P, Sipola P, Aalto TJ, et al. Correlation of lateral stenosis in MRI with symptoms, walking capacity and EMG findings in patients with surgically confirmed lateral lumbar spinal canal stenosis. BMC Musculoskelet Dis. 2014;15:247. doi: 10.1186/1471-2474-15-247Kuittinen P, Sipola P, Aalto TJ, et al. Correlation of lateral stenosis in MRI with symptoms, walking capacity and EMG findings in patients with surgically confirmed lateral lumbar spinal canal stenosis. BMC Musculoskelet Dis. 2014;15:247. doi: 10.1186/1471-2474-15-247Kuittinen P, Sipola P, Aalto TJ, et al. Correlation of lateral stenosis in MRI with symptoms, walking capacity and EMG findings in patients with surgically confirmed lateral lumbar spinal canal stenosis. BMC Musculoskelet Dis. 2014;15:247. doi: 10.1186/1471-2474-15-247Piazzolla A, Solarino G. Spinopelvic parameter changes and low back pain improvement due to femoral neck anteversion in patients with severe unilateral primary hip osteoarthritis undergoing total hip replacement. Eur Spine J. 2018 Jan;27(1):125-34. doi: 10.1007/s00586-017-5033-7Piazzolla A, Solarino G. Spinopelvic parameter changes and low back pain improvement due to femoral neck anteversion in patients with severe unilateral primary hip osteoarthritis undergoing total hip replacement. Eur Spine J. 2018 Jan;27(1):125-34. doi: 10.1007/s00586-017-5033-7Piazzolla A, Solarino G. Spinopelvic parameter changes and low back pain improvement due to femoral neck anteversion in patients with severe unilateral primary hip osteoarthritis undergoing total hip replacement. Eur Spine J. 2018 Jan;27(1):125-34. doi: 10.1007/s00586-017-5033-7Piazzolla A, Solarino G. Spinopelvic parameter changes and low back pain improvement due to femoral neck anteversion in patients with severe unilateral primary hip osteoarthritis undergoing total hip replacement. Eur Spine J. 2018 Jan;27(1):125-34. doi: 10.1007/s00586-017-5033-7Eguchi Y, Iida S, Suzuki C, et al Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis. Asian Spine J. 2018;12(2):325-34. doi: 10.4184/asj.2018.12.2.325Eguchi Y, Iida S, Suzuki C, et al Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis. Asian Spine J. 2018;12(2):325-34. doi: 10.4184/asj.2018.12.2.325Eguchi Y, Iida S, Suzuki C, et al Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis. Asian Spine J. 2018;12(2):325-34. doi: 10.4184/asj.2018.12.2.325Eguchi Y, Iida S, Suzuki C, et al Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis. Asian Spine J. 2018;12(2):325-34. doi: 10.4184/asj.2018.12.2.325

The authors declare that there are no conflicts of interest present.