Skip to main content

Advertisement

SpringerLink
Log in

A Review of Hip-Spine Syndrome

  • Musculoskeletal Rehabilitation (B Schneider, Section Editor)
  • Published:
Current Physical Medicine and Rehabilitation Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review is aimed at summarizing our current understanding of hip-spine syndrome. In particular, the review discusses the clinical assessment and diagnosis of commonly implicated conditions to help a practitioner realize an efficient and organized approach to the evaluation and management of pain in the setting of hip-spine syndrome.

Recent Findings

While initially described as the concurrent presence of hip osteoarthritis and lumbar spinal stenosis, the catalog of diagnoses associated with hip-spine syndrome has expanded and includes femoroacetabular impingement, acetabular dysplasia, hip osteoarthritis, sacroiliac joint-mediated pain, facet arthropathy, and lumbar spinal stenosis. There is a limited body of evidence describing clinical findings and treatment recommendations when these diagnoses present concurrently. From the available literature, it seems that patients may be successfully managed with a multimodal approach, although absolute resolution of symptoms is not always plausible.

Summary

In the context of hip-spine syndrome, identification of a primary pain generator or etiology, when present, is important to guide successful management. Lingering symptoms may persist and can suggest the presence of a more co-dependent relationship between the hip and the spine (so-called complex hip-spine syndrome). Further research is needed to clarify the influences that underlie hip-spine syndrome, particularly in these more complex cases, and in turn better define diagnostic and treatment algorithms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Offierski CM, MacNab I. Hip-spine syndrome. Spine. 1983;8:316–21.

    Article  CAS  PubMed  Google Scholar 

  2. Swezey RL. Overdiagnosed sciatica and stenosis, underdiagnosed hip arthritis. Orthopedics. 2003;26:173–4 discussion 174.

    PubMed  Google Scholar 

  3. Burns SA, Mintken PE, Austin GP. Clinical decision making in a patient with secondary hip-spine syndrome. Physiother Theory Pract. 2011;27:384–97. https://doi.org/10.3109/09593985.2010.509382.

    Article  PubMed  Google Scholar 

  4. • Gebhart JJ, Weinberg DS, Conry KT, Morris WZ, Sasala LM, Liu RW. Hip-spine syndrome: is there an association between markers for cam deformity and osteoarthritis of the lumbar spine? Arthroscopy. 2016;32:2243–8. https://doi.org/10.1016/j.arthro.2016.04.025 The study is one of the first studies to describe an association between measures of cam-type femoroacetabular impingement and the presence of osteoarthritis of the spine, supporting the notion that non-arthritic conditions of the hip may be linked to hip-spine syndrome.

    Article  PubMed  Google Scholar 

  5. •• Prather H, Cheng A, Steger-May K, Maheshwari V, VanDillen L. Association of hip radiograph findings with pain and function in patients presenting with low back pain. PM&R. 2018;10:11–8. https://doi.org/10.1016/j.pmrj.2017.06.003 The study further upholds a potential association between non- and pre-arthritic conditions of the hip and low back pain, expanding the inventory of conditions implicated in hip-spine syndrome.

    Article  Google Scholar 

  6. • Reiman MP, Weisbach PC, Glynn PE. The hips influence on low back pain: a distal link to a proximal problem. J Sport Rehabil. 2009;18:24–32 The commentary proposes a comprehensive anatomical basis for hip-spine syndrome, outlining the potential role of impaired hip flexibility and muscle activation in the development of concomitant hip and spine pathology.

    Article  PubMed  Google Scholar 

  7. Mulligan EP, Middleton EF, Brunette M. Evaluation and management of greater trochanter pain syndrome. Phys Ther Sport. 2015;16:205–14. https://doi.org/10.1016/j.ptsp.2014.11.002.

    Article  PubMed  Google Scholar 

  8. Brown MD, Gomez-Marin O, Brookfield KFW, Li PS. Differential diagnosis of hip disease versus spine disease. Clin Orthop Relat Res. 2004;419:280–4.

    Article  Google Scholar 

  9. Khan AM, McLoughlin E, Giannakas K, Hutchinson C, Andrew JG. Hip osteoarthritis: where is the pain? Ann R Coll Surg Engl. 2004;86:119–21. https://doi.org/10.1308/003588404322827518.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Lesher JM, Dreyfuss P, Hager N, Kaplan M, Furman M. Hip joint pain referral patterns: a descriptive study. Pain Med. 2008;9:22–5. https://doi.org/10.1111/j.1526-4637.2006.00153.x.

    Article  PubMed  Google Scholar 

  11. Parvizi J, Pour AE, Hillibrand A, Goldberg G, Sharkey PF, Rothman RH. Back pain and total hip arthroplasty: a prospective natural history study. Clin Orthop Relat Res. 2010;468:1325–30. https://doi.org/10.1007/s11999-010-1236-5.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Slipman CW, Jackson HB, Lipetz JS, Chan KT, Lenrow D, Vresilovic EJ. Sacroiliac joint pain referral zones. Arch Phys Med Rehabil. 2000;81:334–8.

    Article  CAS  PubMed  Google Scholar 

  13. Kurosawa D, Murakami E, Aizawa T. Referred pain location depends on the affected section of the sacroiliac joint. Eur Spine J. 2015;24:521–7. https://doi.org/10.1007/s00586-014-3604-4.

    Article  PubMed  Google Scholar 

  14. Murakami E, Aizawa T, Kurosawa D, Noguchi K. Leg symptoms associated with sacroiliac joint disorder and related pain. Clin Neurol Neurosurg. 2017;157:55–8. https://doi.org/10.1016/j.clineuro.2017.03.020.

    Article  PubMed  Google Scholar 

  15. Young S, Aprill C, Laslett M. Correlation of clinical examination characteristics with three sources of chronic low back pain. Spine J. 2003;3:460–5. https://doi.org/10.1016/S1529-9430(03)00151-7.

    Article  PubMed  Google Scholar 

  16. Mann SJ, Singh P. Lumbar facet arthropathy. StatPearls. Treasure Island: StatPearls Publishing; 2019.

    Google Scholar 

  17. Van Kleef M, Vanelderen P, Cohen SP, Lataster A, Van Zundert J, Mekhail N. 12. Pain originating from the lumbar facet joints: lumbar facet pain. Pain Pract. 2010;10:459–69. https://doi.org/10.1111/j.1533-2500.2010.00393.x.

    Article  PubMed  Google Scholar 

  18. Helbig T, Lee CK. The lumbar facet syndrome. Spine. 1988;13:61–4.

    Article  CAS  PubMed  Google Scholar 

  19. Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N. Clinical features of patients with pain stemming from the lumbar zygapophysial joints: is the lumbar facet syndrome a clinical entity. Spine. 1994;19:1132–7.

    Article  CAS  PubMed  Google Scholar 

  20. Revel M, Poiraudeau S, Auleley GR, Payan C, Denke A, Nguyen M, et al. Capacity of the clinical picture to characterize low back pain relieved by facet joint anesthesia: proposed criteria to identify patients with painful facet joints. Spine. 1998;23:1972–6 discussion 1977.

    Article  CAS  PubMed  Google Scholar 

  21. Kalichman L, Cole R, Kim DH, Li L, Suri P, Guermazi A, et al. Spinal stenosis prevalence and association with symptoms: the Framingham Study. Spine J. 2009;9:545–50. https://doi.org/10.1016/j.spinee.2009.03.005.

    Article  PubMed  PubMed Central  Google Scholar 

  22. • Tomkins-Lane C, Melloh M, Lurie J, Smuck M, Battié MC, Freeman B, et al. ISSLS prize winner: consensus on the clinical diagnosis of lumbar spinal stenosis. SPINE. 2016;41:1239–46. https://doi.org/10.1097/BRS.0000000000001476 The first consensus statement of its kind to propose seven history questions that may help guide the clinical diagnosis of lumbar spinal stenosis.

    Article  PubMed  PubMed Central  Google Scholar 

  23. de Schepper EIT, Overdevest GM, Suri P, Peul WC, Oei EHG, Koes BW, et al. Diagnosis of lumbar spinal stenosis: an updated systematic review of the accuracy of diagnostic tests. Spine. 2013;38:E469–81. https://doi.org/10.1097/BRS.0b013e31828935ac.

    Article  PubMed  Google Scholar 

  24. Wong CK, Johnson EK. A narrative review of evidence-based recommendations for the physical examination of the lumbar spine, sacroiliac and hip joint complex: examination of the lumbosacral-hip complex. Musculoskeletal Care. 2012;10:149–61. https://doi.org/10.1002/msc.1012.

    Article  CAS  PubMed  Google Scholar 

  25. Birrell F, Croft P, Cooper C, Hosie G, Macfarlane G, Silman A, et al. Predicting radiographic hip osteoarthritis from range of movement. Rheumatology (Oxford). 2001;40:506–12.

    Article  CAS  Google Scholar 

  26. Vanelderen P, Szadek K, Cohen SP, De Witte J, Lataster A, Patijn J, et al. 13. Sacroiliac joint pain: SIJ pain. Pain Prac. 2010;10:470–8. https://doi.org/10.1111/j.1533-2500.2010.00394.x.

    Article  Google Scholar 

  27. Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RSGM. Diagnostic validity of criteria for sacroiliac joint pain: a systematic review. J Pain. 2009;10:354–68. https://doi.org/10.1016/j.jpain.2008.09.014.

    Article  PubMed  Google Scholar 

  28. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005;10:207–18. https://doi.org/10.1016/j.math.2005.01.003.

    Article  PubMed  Google Scholar 

  29. van der Wurff P, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures. Arch Phys Med Rehabil. 2006;87:10–4. https://doi.org/10.1016/j.apmr.2005.09.023.

    Article  PubMed  Google Scholar 

  30. Stuber K, Lerede C, Kristmanson K, Sajko S, Bruno P. The diagnostic accuracy of the Kemp’s test: a systematic review. J Can Chiropr Assoc. 2014;58:258–67.

    PubMed  PubMed Central  Google Scholar 

  31. Iversen MD, Katz JN. Examination findings and self-reported walking capacity in patients with lumbar spinal stenosis. Phys Ther. 2001;81:1296–306.

    CAS  PubMed  Google Scholar 

  32. Katz JN, Dalgas M, Stucki G, Katz NP, Bayley J, Fossel AH, et al. Degenerative lumbar spinal stenosis. Diagnostic value of the history and physical examination. Arthritis Rheum. 1995;38:1236–41.

    Article  CAS  PubMed  Google Scholar 

  33. Takahashi N, Kikuchi S-I, Yabuki S, Otani K, Konno S-I. Diagnostic value of the lumbar extension-loading test in patients with lumbar spinal stenosis: a cross-sectional study. BMC Musculoskelet Disord. 2014;15:259. https://doi.org/10.1186/1471-2474-15-259.

    Article  PubMed  PubMed Central  Google Scholar 

  34. • Adachi S, Nakano A, Kin A, Baba I, Kurokawa Y, Neo M. The tibial nerve compression test for the diagnosis of lumbar spinal canal stenosis—a simple and reliable physical examination for use by primary care physicians. Acta Orthop Traumatol Turc. 2018;52:12–6. https://doi.org/10.1016/j.aott.2017.04.007 The authors describe the tibial nerve compression test as a straightforward examination maneuver that was validated in the primary care setting to aid in the diagnosis of lumbar spinal stenosis.

    Article  PubMed  Google Scholar 

  35. Clohisy JC, Carlisle JC, Beaulé PE, Kim Y-J, Trousdale RT, Sierra RJ, et al. A systematic approach to the plain radiographic evaluation of the young adult hip. J Bone Joint Surg Am. 2008;90:47–66. https://doi.org/10.2106/JBJS.H.00756.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Clohisy JC, Nunley RM, Otto RJ, Schoenecker PL. The frog-leg lateral radiograph accurately visualized hip cam impingement abnormalities. Clin Orthop Relat Res. 2007;462:115–21. https://doi.org/10.1097/BLO.0b013e3180f60b53.

    Article  PubMed  Google Scholar 

  37. Tranovich MJ, Salzler MJ, Enseki KR, Wright VJ. A review of femoroacetabular impingement and hip arthroscopy in the athlete. Phys Sportsmed. 2014;42:75–87. https://doi.org/10.3810/psm.2014.02.2050.

    Article  PubMed  Google Scholar 

  38. Rashbaum RF, Ohnmeiss DD, Lindley EM, Kitchel SH, Patel VV. Sacroiliac joint pain and its treatment. Clin Spine Surg. 2016;29:42–8. https://doi.org/10.1097/BSD.0000000000000359.

    Article  PubMed  Google Scholar 

  39. Gellhorn AC, Katz JN, Suri P. Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol. 2013;9:216–24. https://doi.org/10.1038/nrrheum.2012.199.

    Article  PubMed  Google Scholar 

  40. Pathria M, Sartoris DJ, Resnick D. Osteoarthritis of the facet joints: accuracy of oblique radiographic assessment. Radiology. 1987;164:227–30. https://doi.org/10.1148/radiology.164.1.3588910.

    Article  CAS  PubMed  Google Scholar 

  41. Oegema TR, Bradford DS. The inter-relationship of facet joint osteoarthritis and degenerative disc disease. Br J Rheumatol. 1991;30(Suppl 1):16–20.

    PubMed  Google Scholar 

  42. Paholpak P, Dedeogullari E, Lee C, Tamai K, Barkoh K, Sessumpun K, et al. Do modic changes, disc degeneration, translation and angular motion affect facet osteoarthritis of the lumbar spine. Eur J Radiol. 2018;98:193–9. https://doi.org/10.1016/j.ejrad.2017.11.023.

    Article  PubMed  Google Scholar 

  43. Katz JN, Harris MB. Clinical practice. Lumbar spinal stenosis. N Engl J Med. 2008;358:818–25. https://doi.org/10.1056/NEJMcp0708097.

    Article  CAS  PubMed  Google Scholar 

  44. Bagley C, MacAllister M, Dosselman L, Moreno J, Aoun SG, El Ahmadieh TY. Current concepts and recent advances in understanding and managing lumbar spine stenosis. F1000Research. 2019;8:137. https://doi.org/10.12688/f1000research.16082.1.

    Article  Google Scholar 

  45. Weishaupt D, Zanetti M, Boos N, Hodler J. MR imaging and CT in osteoarthritis of the lumbar facet joints. Skelet Radiol. 1999;28:215–9.

    Article  CAS  Google Scholar 

  46. Kreiner DS, Shaffer WO, Baisden JL, Gilbert TJ, Summers JT, Toton JF, et al. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). Spine J. 2013;13:734–43. https://doi.org/10.1016/j.spinee.2012.11.059.

    Article  PubMed  Google Scholar 

  47. Dolan AL, Ryan PJ, Arden NK, Stratton R, Wedley JR, Hamann W, et al. The value of SPECT scans in identifying back pain likely to benefit from facet joint injection. Br J Rheumatol. 1996;35:1269–73.

    Article  CAS  PubMed  Google Scholar 

  48. Czervionke LF, Fenton DS. Fat-saturated MR imaging in the detection of inflammatory facet arthropathy (facet synovitis) in the lumbar spine. Pain Med. 2008;9:400–6. https://doi.org/10.1111/j.1526-4637.2007.00313.x.

    Article  PubMed  Google Scholar 

  49. Cohen SP, Raja SN. Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology. 2007;106:591–614.

    Article  PubMed  Google Scholar 

  50. Crawford RW, Gie GA, Ling RS, Murray DW. Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip. J Bone Joint Surg (Br). 1998;80:279–81.

    Article  CAS  Google Scholar 

  51. Illgen RL, Honkamp NJ, Weisman MH, Hagenauer ME, Heiner JP, Anderson PA. The diagnostic and predictive value of hip anesthetic arthrograms in selected patients before total hip arthroplasty. J Arthroplast. 2006;21:724–30. https://doi.org/10.1016/j.arth.2005.08.017.

    Article  Google Scholar 

  52. Deshmukh AJ, Thakur RR, Goyal A, Klein DA, Ranawat AS, Rodriguez JA. Accuracy of diagnostic injection in differentiating source of atypical hip pain. J Arthroplast. 2010;25:129–33. https://doi.org/10.1016/j.arth.2010.04.015.

    Article  Google Scholar 

  53. Pateder DB, Hungerford MW. Use of fluoroscopically guided intra-articular hip injection in differentiating the pain source in concomitant hip and lumbar spine arthritis. Am J Orthop. 2007;36:591–3.

    PubMed  Google Scholar 

  54. Ladd LM, Keene JS, del Rio AM, Rosas HG. Correlation between hip arthroscopy outcomes and preoperative anesthetic hip joint injections, MR arthrogram imaging findings, and patient demographic characteristics. Am J Roentgenol. 2016;207:1062–9. https://doi.org/10.2214/AJR.16.16383.

    Article  Google Scholar 

  55. Byrd JWT, Jones KS. Diagnostic accuracy of clinical assessment, magnetic resonance imaging, magnetic resonance arthrography, and intra-articular injection in hip arthroscopy patients. Am J Sports Med. 2004;32:1668–74. https://doi.org/10.1177/0363546504266480.

    Article  PubMed  Google Scholar 

  56. Ayeni OR, Farrokhyar F, Crouch S, Chan K, Sprague S, Bhandari M. Pre-operative intra-articular hip injection as a predictor of short-term outcome following arthroscopic management of femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2014;22:801–5. https://doi.org/10.1007/s00167-014-2883-y.

    Article  PubMed  Google Scholar 

  57. Lynch TS, Steinhaus ME, Popkin CA, Ahmad CS, Rosneck J. Outcomes after diagnostic hip injection. Arthroscopy. 2016;32:1702–11. https://doi.org/10.1016/j.arthro.2016.02.027.

    Article  PubMed  Google Scholar 

  58. Foley BS, Buschbacher RM. Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil. 2006;85:997–1006. https://doi.org/10.1097/01.phm.0000247633.68694.c1.

    Article  PubMed  Google Scholar 

  59. Berthelot J-M, Labat J-J, Le Goff B, Gouin F, Maugars Y. Provocative sacroiliac joint maneuvers and sacroiliac joint block are unreliable for diagnosing sacroiliac joint pain. Joint Bone Spine. 2006;73:17–23. https://doi.org/10.1016/j.jbspin.2004.08.003.

    Article  PubMed  Google Scholar 

  60. Rosenberg JM, Quint TJ, de Rosayro AM. Computerized tomographic localization of clinically-guided sacroiliac joint injections. Clin J Pain. 2000;16:18–21.

    Article  CAS  PubMed  Google Scholar 

  61. Jee H, Lee J-H, Park KD, Ahn J, Park Y. Ultrasound-guided versus fluoroscopy-guided sacroiliac joint intra-articular injections in the noninflammatory sacroiliac joint dysfunction: a prospective, randomized, single-blinded study. Arch Phys Med Rehabil. 2014;95:330–7. https://doi.org/10.1016/j.apmr.2013.09.021.

    Article  PubMed  Google Scholar 

  62. Perry JM, Colberg RE, Dault SL, Beason DP, Tresgallo RA. A cadaveric study assessing the accuracy of ultrasound-guided sacroiliac joint injections. PM&R. 2016;8:1168–72. https://doi.org/10.1016/j.pmrj.2016.05.002.

    Article  Google Scholar 

  63. De Luigi AJ, Saini V, Mathur R, Saini A, Yokel N. Assessing the accuracy of ultrasound guided needle placement in sacroiliac joint injections. Am J Phys Med Rehabil. 2019:1. https://doi.org/10.1097/PHM.0000000000001167.

  64. Stelzer W, Stelzer D, Stelzer E, Sammer A, Aichner E, Braune M, et al. Success rate of intra-articular sacroiliac joint injection: fluoroscopy vs ultrasound guidance—a cadaveric study. Pain Med. 2019. https://doi.org/10.1093/pm/pnz059.

  65. Soneji N, Bhatia A, Seib R, Tumber P, Dissanayake M, Peng PWH. Comparison of fluoroscopy and ultrasound guidance for sacroiliac joint injection in patients with chronic low Back pain. Pain Pract. 2016;16:537–44. https://doi.org/10.1111/papr.12304.

    Article  PubMed  Google Scholar 

  66. Marks RC, Houston T, Thulbourne T. Facet joint injection and facet nerve block: a randomised comparison in 86 patients with chronic low back pain. Pain. 1992;49:325–8. https://doi.org/10.1016/0304-3959(92)90239-8.

    Article  CAS  PubMed  Google Scholar 

  67. • Cohen SP, Moon JY, Brummett CM, White RL, Larkin TM. Medial branch blocks or intra-articular injections as a prognostic tool before lumbar facet radiofrequency denervation: a multicenter, case-control study. Reg Anesth Pain Med. 2015;40:376–83. https://doi.org/10.1097/AAP.0000000000000229. A case-control study comparing the predictive value of medial branch blocks and intraarticular facet joint injections for response to radiofrequency neurotomy. The findings suggest that dual medial branch blocks may be superior to dual intraarticular injections as well as medial branch block plus intraarticular injection in predicting a positive response to radiofrequency neurotomy.

    Article  CAS  PubMed  Google Scholar 

  68. de Andrés Ares J, Gilsanz F. Bloqueos diagnósticos en el manejo del paciente con lumbalgia secundaria a síndrome facetario. Rev Esp Anestesiol Reanim. 2019;66:213–21. https://doi.org/10.1016/j.redar.2018.11.008.

    Article  PubMed  Google Scholar 

  69. Manchukonda R, Manchikanti KN, Cash KA, Pampati V, Manchikanti L. Facet joint pain in chronic spinal pain: an evaluation of prevalence and false-positive rate of diagnostic blocks. J Spinal Disord Tech. 2007;20:539–45. https://doi.org/10.1097/BSD.0b013e3180577812.

    Article  PubMed  Google Scholar 

  70. Cohen SP, Strassels SA, Kurihara C, Griffith SR, Goff B, Guthmiller K, et al. Establishing an optimal “cutoff” threshold for diagnostic lumbar facet blocks: a prospective correlational study. Clin J Pain. 2013;29:382–91. https://doi.org/10.1097/AJP.0b013e31825f53bf.

    Article  PubMed  Google Scholar 

  71. Manchikanti L, Pampati S, Cash KA. Making sense of the accuracy of diagnostic lumbar facet joint nerve blocks: an assessment of the implications of 50% relief, 80% relief, single block, or controlled diagnostic blocks. Pain Physician. 2010;13:133–43.

    PubMed  Google Scholar 

  72. Boswell MV, Manchikanti L, Kaye AD, Bakshi S, Gharibo CG, Gupta S, et al. A best-evidence systematic appraisal of the diagnostic accuracy and utility of facet (zygapophysial) joint injections in chronic spinal pain. Pain Physician. 2015;18:E497–533.

    PubMed  Google Scholar 

  73. Shim J-K, Moon J-C, Yoon K-B, Kim W-O, Yoon D-M. Ultrasound-guided lumbar medial-branch block: a clinical study with fluoroscopy control. Reg Anesth Pain Med. 2006;31:451–4. https://doi.org/10.1016/j.rapm.2006.06.246.

    Article  PubMed  Google Scholar 

  74. Han SH, Park KD, Cho KR, Park Y. Ultrasound versus fluoroscopy-guided medial branch block for the treatment of lower lumbar facet joint pain: a retrospective comparative study. Medicine (Baltimore). 2017;96:e6655. https://doi.org/10.1097/MD.0000000000006655.

    Article  CAS  Google Scholar 

  75. Park KD, Lim D-J, Lee WY, Ahn J, Park Y. Ultrasound versus fluoroscopy-guided cervical medial branch block for the treatment of chronic cervical facet joint pain: a retrospective comparative study. Skelet Radiol. 2017;46:81–91. https://doi.org/10.1007/s00256-016-2516-2.

    Article  Google Scholar 

  76. Bresnahan BW, Rundell SD, Dagadakis MC, Sullivan SD, Jarvik JG, Nguyen H, et al. A systematic review to assess comparative effectiveness studies in epidural steroid injections for lumbar spinal stenosis and to estimate reimbursement amounts. PM&R. 2013;5:705–14. https://doi.org/10.1016/j.pmrj.2013.05.012.

    Article  Google Scholar 

  77. Chou R, Hashimoto R, Friedly J. Epidural corticosteroid injections for radiculopathy and spinal stenosis. Ann Intern Med. 2016;164:635–6. https://doi.org/10.7326/L15-0563.

    Article  PubMed  Google Scholar 

  78. Fukusaki M, Kobayashi I, Hara T, Sumikawa K. Symptoms of spinal stenosis do not improve after epidural steroid injection. Clin J Pain. 1998;14:148–51.

    Article  CAS  PubMed  Google Scholar 

  79. Koc Z, Ozcakir S, Sivrioglu K, Gurbet A, Kucukoglu S. Effectiveness of physical therapy and epidural steroid injections in lumbar spinal stenosis. Spine. 2009;34:985–9. https://doi.org/10.1097/BRS.0b013e31819c0a6b.

    Article  PubMed  Google Scholar 

  80. Lee JH, An JH, Lee S-H. Comparison of the effectiveness of interlaminar and bilateral transforaminal epidural steroid injections in treatment of patients with lumbosacral disc herniation and spinal stenosis. Clin J Pain. 2009;25:206–10. https://doi.org/10.1097/AJP.0b013e3181878f9e.

    Article  PubMed  Google Scholar 

  81. Farooque M, Salzman MM, Ye Z. Effectiveness of bilateral transforaminal epidural steroid injections in degenerative lumbar spinal stenosis patients with neurogenic claudication: a case series. PM&R. 2017;9:26–31. https://doi.org/10.1016/j.pmrj.2016.06.002.

    Article  Google Scholar 

  82. Jamil M, Dandachli W, Noordin S, Witt J. Hip arthroscopy: indications, outcomes and complications. Int J Surg. 2018;54:341–4. https://doi.org/10.1016/j.ijsu.2017.08.557.

    Article  PubMed  Google Scholar 

  83. Schmidt GL, Bhandutia AK, Altman DT. Management of sacroiliac joint pain. J Am Acad Orthop Surg. 2018;26:610–6. https://doi.org/10.5435/JAAOS-D-15-00063.

    Article  PubMed  Google Scholar 

  84. •• Piazzolla A, Solarino G, Bizzoca D, Montemurro V, Berjano P, Lamartina C, et al. 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;27:125–34. https://doi.org/10.1007/s00586-017-5033-7 The study prospectively evaluated 91 patients (47 with low back pain and 44 without) undergoing total hip arthroplasty. Notably, the group with pre-existing low back pain demonstrated improvements in both spinopelvic alignment and low back pain following surgery.

    Article  PubMed  Google Scholar 

  85. Ben-Galim P, Ben-Galim T, Rand N, Haim A, Hipp J, Dekel S, et al. Hip-spine syndrome: the effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip. Spine. 2007;32:2099–102. https://doi.org/10.1097/BRS.0b013e318145a3c5.

    Article  PubMed  Google Scholar 

  86. Staibano P, Winemaker M, Petruccelli D, de Beer J. Total joint arthroplasty and preoperative low back pain. J Arthroplast. 2014;29:867–71. https://doi.org/10.1016/j.arth.2013.10.001.

    Article  Google Scholar 

  87. Weng W, Wu H, Wu M, Zhu Y, Qiu Y, Wang W. The effect of total hip arthroplasty on sagittal spinal–pelvic–leg alignment and low back pain in patients with severe hip osteoarthritis. Eur Spine J. 2016;25:3608–14. https://doi.org/10.1007/s00586-016-4444-1.

    Article  PubMed  Google Scholar 

  88. Chimenti PC, Drinkwater CJ, Li W, Lemay CA, Franklin PD, O’Keefe RJ. Factors associated with early improvement in low back pain after total hip arthroplasty: a multi-center prospective cohort analyses. J Arthroplast. 2016;31:176–9. https://doi.org/10.1016/j.arth.2015.07.028.

    Article  Google Scholar 

  89. Pritchett JW. Lumbar decompression to treat foot drop after hip arthroplasty. Clin Orthop Relat Res. 1994;303:173–7.

  90. • Eneqvist T, Bülow E, Nemes S, Brisby H, Garellick G, Fritzell P, et al. Patients with a previous total hip replacement experience less reduction of back pain following lumbar back surgery: TOTAL HIP REPLACEMENT PRIOR TO LUMBAR SPINE SURGERY. J Orthop Res. 2018;36:2484–90. https://doi.org/10.1002/jor.24018 The authors compare outcomes in individuals who underwent lumbar spine surgery with and without a prior history of total hip arthroplasty. Their results suggest that while individuals with a history of hip arthroplasty can benefit from lumbar spine surgery, they are more likely to experience lingering pain and functional deficit when compared with those without a history of hip arthroplasty.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics and Rehabilitation, University of New Mexico, MSC 10-5600, 1 University of New Mexico, Albuquerque, NM, 87131, USA

    Rebecca Dutton

Authors
  1. Rebecca Dutton
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rebecca Dutton.

Ethics declarations

Conflict of Interest

The author declares that there are no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the author.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Musculoskeletal Rehabilitation

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dutton, R. A Review of Hip-Spine Syndrome. Curr Phys Med Rehabil Rep 7, 264–274 (2019). https://doi.org/10.1007/s40141-019-00231-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40141-019-00231-w

Keywords

Search

Navigation