Hip-spine syndrome (literature review).

Meskhi K.T., Kargaltsev A.A., Makarov M.A., Vorona B.N.

The incidence of hip osteoarthritis and degenerative lumbar spine stenosis increases with the lifespan. The combination of these two conditions is not rare and is known as “hip-spine syn-drome” in literature. Due to the similarity of symptoms the main problem is to determine the primary pain generator. Solving this diagnostic problem can lead to proper treatment, surgi-cal or other. Purpose. To provide the literature review of the hip-spine syndrome. Materials and methods. We analyzed articles published on https://www.ncbi.nlm.nih.gov/pubmed during 2004-2018 searching for keywords: «radio-graphic and clinical hip osteoarthritis» - 1141 results, «lumbar spine stenosis and MRI canal» - 521 results and «hip-spine syndrome» - 35 results, 54 items were chosen due to the objec-tive. Results. Primary source of pain for patients with hip-spine syndrome often remains unclear. The existing diagnostic algorithms are imperfect, about 25% of patients do not feel relief of pain after spine surgery or total hip arthroplasty. Mandatory x-ray examination in case of unknown source of pain is important and can show changes in hip and lumbar spine. That can help to change the way of search for pain generator Conclusion. It is necessary to create new diagnostic algorithms that will be harmless for patients and will be with maximum value for surgeons.

1 - I.M. Sechenov First Moscow State Medical University (Sechenov Uni-versity). 2 - V.A. Nasonova Moscow Research Institute of Rheumatology. Moscow, Russia.



Keywords:hip-spine syndrome, osteoarthritis, stenosis of the spinal canal, radiography, MRI.


Corresponding author:Meskhi K.T., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Meskhi K.T., Kargaltsev A.A., Makarov M.A., Vorona B.N. Hip-spine syndrome (literature re-view). REJR 2018; 8(4):220-228. DOI:10.21569/2222-7415-2018-8-4-220-228.

Received: 09.11.18 Accepted: 27.11.18