The Hip-Spine Syndrome: How Does Back Pain Impact the Indications and Outcomes of Hip Arthroscopy?
Authors
Redmond JM, Gupta A, Hammarstedt JE, Stake CE, Domb BG
DOI: 10.1016/j.arthro.2014.02.033
Purpose
To review the impact of coexisting lumbar spine disease (LSD) and low back pain on hip range of motion, and on outcomes following hip arthroscopic surgery.
Methods
Systematic review of 15 studies examining hip and lumbar spine interactions, including pre- and postoperative hip function in patients with LSD.
Key Findings
- Low back pain patients consistently show decreased hip range of motion.
- Hip arthroscopy patients with LSD report significant improvements in hip pain and function scores post-surgery.
- Lumbar spine pathology should be considered but does not preclude successful hip surgery.
Conclusion
Hip arthroscopy outcomes are favorable even in patients with concurrent lumbar spine disease, though the hip-spine relationship should guide surgical decision-making.
What This Means for Patients
Patients with both hip and back problems can expect improvements in hip symptoms after surgery, and the presence of back pain should not automatically exclude them from hip arthroscopy.