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The role of the greater trochanter pain syndrome in lumbar degenerative disc disease surgery

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Abstract

Purpose

Greater trochanter pain syndrome (GTPS) is highly discussed during spine surgeons, accompanies lumbar pain and complicates differential diagnosis. The aim is to raise awareness among physicians and demonstrate the lumbar spine degenerative diseases (LSDD) association with GTPS.

Methods

A retro-prospective analysis enrolled 172 patients with LSDD with GTPS signs. Group I – retrospective (n = 112), group II – prospective (n = 60). Patients of group II with the confirmed diagnosis clinically and by the ultrasound recieved a GCS injection (Betamethasone 2 mg\ml + 5 mg\ml — 1.0). Also the VAS, X-ray and SPSS Statistics package were used.

Results

112 patients in group I, 89 (79.5%) had increased pain in the hip early postOp to 7.8 points by VAS. All patients required trigger point injections of GCS and 68 (77%) received a repeat injection. 76 from 112 patients were tracked for long-term results, and recurrence of GTPS was detected in five people who treated conservatively for three months without dynamics. They were identified GTPS by ultrasound. During the injection, 39 from 43 (90%) patients noted pain reduction to 2.1 by VAS, but symptoms of radiculopathy or spinal stenosis persisted. Two patients (5%) did not note any changes. Two patients (5%) noted complete pain regression and refused the surgery.

Conclusion

Timely detection of GTPS among spinal surgeons influences tactics and, in some cases, allows one to avoid unnecessary surgical interventions. In turn, ignoring the symptoms of GTPS in the preoperative period can lead to pain intensification in the greater trochanter after surgery for degenerative diseases of the spine.

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Funding

The study was not supported by any grants.

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Authors and Affiliations

  1. Department of Spine Pathology, N. N. Priorov National Medical Research Center, Priorov Str., 10, 127299, Moscow, Russia

    Arkadii I. Kazmin, Vladimir S. Pereverzev, Darya D. Tesakova & Sergey V. Kolesov

  2. Department of Traumatology and Orthopedics, Russian Medical Academy of Continuous Professional Education, Barrikadnaya Str., 2/1, B. 1, 125993, Moscow, Russia

    Darya D. Tesakova

Authors
  1. Arkadii I. Kazmin
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  2. Vladimir S. Pereverzev
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Correspondence to Arkadii I. Kazmin.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments.

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Kazmin, A.I., Pereverzev, V.S., Tesakova, D.D. et al. The role of the greater trochanter pain syndrome in lumbar degenerative disc disease surgery. International Orthopaedics (SICOT) (2024). https://doi.org/10.1007/s00264-024-06214-4

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