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Rate of radiographic hip OA in spine patients: utility of including femoral heads on plain film A/P lumbar radiographs

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

The incidence of concomitant lumbar spine and hip pathology is common in referral patients to spine clinics. Differentiating between the two pathologies is a key component to the clinical practitioner’s role. At our institution, it has become routine protocol to obtain radiographs including the femoroacetabular joints on the AP and lateral views of the lumbar spine as part of the initial workup. The purpose of this study was to determine the rates of radiographic hip pathology seen on lumbar spine imaging. We report just over 25% concomitant spine and hip pathology with 25% of patients requiring further management from a hip surgeon. The studied protocol will assist in the workup of spine patients to further differentiate the intricacies of hip- and spine-related pathology.

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Authors and Affiliations

  1. OrthoCarolina Hip and Knee Center, 2001 Vail Avenue, Ste 200A, Charlotte, NC, 28207, USA

    Brian M. Curtin

  2. OrthoCarolina Spine Center, 2001 Randolph Rd., Charlotte, NC, 28207, USA

    Casey Davidson & Leo Spector

  3. OrthoCarolina Research Institute, 2001 Vail Avenue, Ste 200A, Charlotte, NC, 28207, USA

    Susan Odum

Authors
  1. Brian M. Curtin
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  2. Casey Davidson
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  3. Susan Odum
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  4. Leo Spector
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Correspondence to Brian M. Curtin.

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Conflict of interest

No conflicts of interest pertinent to this manuscript and no outside funding used to support the work. Dr. Curtin reports consultant for Stryker Orthopedics, Depuy-Synthes, Ethicon, and Zimmer-Biomet. Royalties from Springer Publishing. Review boards for EJOST, JoA, Orthopedics, and CORR. AAHKS committees and American Joint Replacement Registry. Dr. Spector reports no conflicts. Dr. Davidson reports no conflicts. Dr. Odum reports consultant for AAOS.

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IRB approval was obtained due to the use of patient records in this retrospective study.

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Curtin, B.M., Davidson, C., Odum, S. et al. Rate of radiographic hip OA in spine patients: utility of including femoral heads on plain film A/P lumbar radiographs. Eur J Orthop Surg Traumatol 31, 737–741 (2021). https://doi.org/10.1007/s00590-020-02826-9

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  • DOI: https://doi.org/10.1007/s00590-020-02826-9

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