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OPTIMIZATION OF SURGICAL TREATMENT TACTICS FOR PATIENTS WITH HIP-SPINE SYNDROME: A CLINICAL CASE

https://doi.org/10.14412/1995-4484-2019-474-477

Abstract

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.

About the Authors

A. A. Kargaltsev
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

34A, Kashirskoe Shosse, Moscow 115522



M. A. Makarov
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522


V. N. Amirdzhanova
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522


References

1. Offierski CM, MacNab I. Hip-spine syndrome. Spine. 1983;8(3):316. doi: 10.1097/00007632-198304000-00014

2. Devin CJ, McCullough KA, Yates AJ, Kang JD, et al. Hip-spine syndrome. J Am Acad Orthop Surg. 2012 Jul;20(7):434-42. doi: 10.5435/JAAOS-20-07-434

3. Eneqvist T, Nemes S, Brisby H, et al. Lumbar surgery prior to total hip arthroplasty is associated with worse patientreported outcomes. Bone Joint J. 2017;99-B:759-65. doi: 10.1302/0301-620X.99B6.BJJ-2016-0577.R2

4. Offierski CM, MacNab I. Hip-spine syndrome. Spine. 1983;8(3):316. doi: 10.1097/00007632-198304000-00014

5. Eneqvist T, Bulow E, Nemes S, et al. Patients with a previous total hip replacement experience less reduction of back pain following lumbar back surgery. J Orthop Res. 2018 Sep;36(9):2484-90. doi: 10.1002/jor.24018

6. Eneqvist T, Nemes S, Brisby H, et al. Lumbar surgery prior to total hip arthroplasty is associated with worse patientreported outcomes. Bone Joint J. 2017;99-B:759-65. doi: 10.1302/0301-620X.99B6.BJJ-2016-0577.R2

7. Fogel GR, Esses SI. Hip spine syndrome: Management of coexisting radiculopathy and arthritis of the lower extremity. Spine J. 2003;3(3):238-41. doi: 10.1016/S1529-9430(02)00453-9

8. Eneqvist T, Bulow E, Nemes S, et al. Patients with a previous total hip replacement experience less reduction of back pain following lumbar back surgery. J Orthop Res. 2018 Sep;36(9):2484-90. doi: 10.1002/jor.24018

9. Fogel GR, Esses SI. Hip spine syndrome: Management of coexisting radiculopathy and arthritis of the lower extremity. Spine J. 2003;3(3):238-41. doi: 10.1016/S1529-9430(02)00453-9

10. Brown MD, Gomez-Martin O, Brookfield KF, et al. Differential diagnosis of hip disease versus spine disease. Clin Orthop. 2004;1:280. doi: 10.1097/00003086-200402000-00044

11. Brown MD, Gomez-Martin O, Brookfield KF, et al. Differential diagnosis of hip disease versus spine disease. Clin Orthop. 2004;1:280. doi: 10.1097/00003086-200402000-00044

12. Khan AM, McLoughlin E, Giannakas K, et al. Hip osteoarthritis: where is the pain? Ann R Coll Surg Engl. 2004 Mar;86(2):119-21. doi: 10.1308/003588404322827518

13. Kirpichev IV, Kirpikova MN. Extra-articular pain syndrome after primary prosthetic hip joint. Klinitsist. 2016;10(1):17-21 (In Russ.).

14. Khan AM, McLoughlin E, Giannakas K, et al. Hip osteoarthritis: where is the pain? Ann R Coll Surg Engl. 2004 Mar;86(2):119-21. doi: 10.1308/003588404322827518

15. Redmond JM, Gupta A, Nasser R, Domb BG. The hip-spine connection: understanding its importance in the treatment of hip pathology. Orthopedics. 2015;38(1):49. doi: 10.3928/01477447-20150105-07

16. Kirpichev IV, Kirpikova MN. Extra-articular pain syndrome after primary prosthetic hip joint. Klinitsist. 2016;10(1):17-21 (In Russ.).

17. Kudyashev AL, Khominets VV, Shapovalov VM, et al. Features of surgical treatment of patients with coke-vertebral syndrome. Travmatologiya i Ortopediya Rossii. 2017;23(1):122-43 (In Russ.).

18. Redmond JM, Gupta A, Nasser R, Domb BG. The hip-spine connection: understanding its importance in the treatment of hip pathology. Orthopedics. 2015;38(1):49. doi: 10.3928/01477447-20150105-07

19. Miyagi M, Kensuke Fukushima K, Inoue G, et al. Hip-spine syndrome: cross-sectional-study of spinal alignment in patients with coxalgia. Hip Int. 2019 Jan 14;29(1):21-5. Epub 2018 Oct 14.

20. Kudyashev AL, Khominets VV, Shapovalov VM, et al. Features of surgical treatment of patients with coke-vertebral syndrome. Travmatologiya i Ortopediya Rossii. 2017;23(1):122-43 (In Russ.).

21. Van Zyl A. Misdiagnosis of hip pain could lead to unnecessary spinal surgery. SA Orthop J. 2010;9(4):54-7.

22. Miyagi M, Kensuke Fukushima K, Inoue G, et al. Hip-spine syndrome: cross-sectional-study of spinal alignment in patients with coxalgia. Hip Int. 2019 Jan 14;29(1):21-5. Epub 2018 Oct 14.

23. Sembrano 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.0b013e31818b8882

24. Van Zyl A. Misdiagnosis of hip pain could lead to unnecessary spinal surgery. SA Orthop J. 2010;9(4):54-7.

25. 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.

26. Sembrano 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.0b013e31818b8882

27. 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.80B2.8299

28. 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.

29. Chu 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.00425

30. 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.80B2.8299

31. Kuittinen 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: 10.1186/1471-2474-15-247

32. Chu 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.00425

33. Piazzolla 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/s00586-017-5033-7

34. Kuittinen 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: 10.1186/1471-2474-15-247

35. Eguchi 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

36. Piazzolla 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/s00586-017-5033-7

37. Eguchi 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


Review

For citations:


Kargaltsev A.A., Makarov M.A., Amirdzhanova V.N. OPTIMIZATION OF SURGICAL TREATMENT TACTICS FOR PATIENTS WITH HIP-SPINE SYNDROME: A CLINICAL CASE. Rheumatology Science and Practice. 2019;57(4):474-477. (In Russ.) https://doi.org/10.14412/1995-4484-2019-474-477

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ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)