KMID : 1028220230350040238
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Hip & Pelvis 2023 Volume.35 No. 4 p.238 ~ p.245
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Change of Symptoms after Total Hip Arthroplasty in Patients with Hip-Spine Syndrome
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Yoon Sung-Hyun
Kim Ju-Hyun Lee Hyung-Jun Kim Ki-Choul
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Abstract
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Purpose: Elderly patients with degenerative diseases undergo treatment for the hip and spine; these patients present with various symptoms. This study focused on patients with residual symptoms, predominantly pain, even after receiving treatment for their spinal lesions.
Materials and Methods: Patients who underwent total hip arthroplasty (THA) between 2016 and 2022 at a single tertiary hospital were included in the study. Of the 417 patients who underwent primary THA, a retrospective review of 40 patients with previous lesions of the spine was conducted. Patients were stratified to two cohorts: Patients with symptoms related to the spine (Group A), and those with hip-related symptoms (Group B). Preand postoperative comparisons of groups A and B were performed.
Results: Improvements in patients¡¯ symptoms were observed in groups A and B after THA. In Group A, the mean preoperative visual analog scale (VAS) score was 5.10¡¾0.876, which showed a postoperative decrease to 2.70¡¾1.767. In Group B, the mean preoperative VAS score was 5.10¡¾1.539, which showed a postoperative decrease to 2.67¡¾1.493.
Conclusion: According to the findings, promising results were achieved with THA in treatment of debilitating diseases of the hip for both the prognosis of the disease, as well as the patients¡¯ symptoms. In addition, in some cases elderly patients with dual pathologies underwent treatment for spinal lesions without performance of any evaluation related to the hip. Thus, evaluation of a patient¡¯s hip must be performed and performance of THA in patients with symptoms even after treatment of spinal lesions is recommended.
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KEYWORD
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Hip, Spine, Total hip arthroplasty
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