Top

European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-05-2021 | Osteoarthritis of the Hip | Original Article

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

Authors: Brian M. Curtin, Casey Davidson, Susan Odum, Leo Spector

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2021

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.

Dagenais S, Garbedian S, Wai EK (2009) Systematic review of the prevalence of radiographic primary hip osteoarthritis. Clin Orthop Relat Res 467(3):623–663CrossRef

Helmick C, Renner JB, Luta G, Dragomir AD, Kalsbeek W, Abbate L et al (2003) Prevalence of hip pain, radiographic hip osteoarthritis (OA), severe radiographic hip OA, symptomatic hip OA: the Johnson County Osteoarthritis Project [abstract]. Arthritis Rheum. 48(Suppl 9):S212

Lawrence RC, Felson DT, Helmick CG et al (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: part II. Arthritis Rheum 58(1):26–35CrossRef

https://usafacts.org/articles/us-census-whats-new-2020/?utm_source=google&utm_medium=cpc&utm_campaign=comp&gclid=CjwKCAjw-YT1BRAFEiwAd2WRtgH8cGnPhzjheVk5NbD9t20q9_BzdNCz9IPrLmUFFZ7aqRBKvoc8YxoCZbwQAvD_Bw. Accessed 24 Feb 2020

Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R (2012) American College of Rheumatology: a systematic review of the global prevalence of low back pain. Arthritis Rheum 64(6):2028–2037. https://doi.org/10.1002/art.34347CrossRefPubMed

Brinjikji W, Luetmer PH, Comstock B, Bresnahan BW, Chen LE, Deyo RA, Halabi S, Turner JA, Avins AL, James K, Wald JT, Kallmes DF, Jarvik JG (2015) Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. Am J Neuroradiol 36(4):811–816. https://doi.org/10.3174/ajnr.A4173CrossRefPubMed

Markman JD, Gaud KG (2008) Lumbar spinal stenosis in older adults: current understanding and future directions. Clin Geriatr Med 24(2):369–388CrossRef

Offierski CM, MacNab I (1983) Hip-spine syndrome. Spine (Phila Pa 1976) 8(3):316–321CrossRef

Lee BH, Mood SH, Lee HM, Kim TH, Lee SJ (2012) Prevalence of hip pathology in patients over age 50 with spinal conditions requiring surgery. Indian J Orthop 46(3):291–296CrossRef

10.

Swezey RL (2003) Overdiagnosed sciatica and stenosis, underdiagnosed hip arthritis. Orthopedics 26(2):173–174PubMed

11.

Hsieh PH, Chang Y, Chen DW, Lee MS, Shih HN, Ueng SW (2012) Pain distribution and response to total hip arthroplasty: a prospective observational study in 113 patients with end-stage hip disease. J Orthop Sci 17(3):213–218CrossRef

12.

Margo K, Drezner J, Motzkin D (2003) Evaluation and management of hip pain: an algorithmic approach. J Fam Pract 52(8):607–617PubMed

13.

Watters WC, Bono C, Gilbert T et al (2008) Degenerative lumbar spinal stenosis: an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis. Spine J 8(2):305–310CrossRef

14.

Ben-Galim P, Ben-Galim T, Rand N et al (2007) Hip-spine syndrome. The effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip. Spine 32(19):2099–2102CrossRef

15.

Parvizi J, Pour AE, Hillibrand A, Goldberg G, Sharkey PF, Rothman RH (2010) Back pain and total hip arthroplasty: a prospective natural history study. Clin Orthop Relat Res 468(5):1325–1330CrossRef

16.

Saito J, Ohtori S, Kishida S, Nakamura J, Takeshita M, Shigemura T, Takazawa M, Eguchi Y, Inoue G, Orita S, Takaso M, Ochiai N, Kuniyoshi K, Aoki Y, Ishikawa T, Arai G, Miyagi M, Kamoda H, Suzuki M, Sakuma Y, Oikawa Y, Kubota G, Inage K, Sainoh T, Yamauchi K, Toyone T, Takahashi K (2012) Difficulty of diagnosing the origin of lower leg pain in patients with both lumbar spinal stenosis and hip joint osteoarthritis. Spine (Phila Pa 1976) 37(25):2089–93. https://doi.org/10.1097/BRS.0b013e31825d213dCrossRef

17.

Devin CJ, McCullough KA, Morris BJ, Yates AJ, Kang JD (2012) Hip-spine syndrome. J Am Acad Orthop Surg 20(7):434–442. https://doi.org/10.5435/JAAOS-20-07-434CrossRefPubMed

18.

Fogel GR, Esses SI (2003) Hip spine syndrome: management of coexisting radiculopathy and arthritis of the lower extremity. Spine J 3(3):238–241CrossRef

Title: Rate of radiographic hip OA in spine patients: utility of including femoral heads on plain film A/P lumbar radiographs
Authors: Brian M. Curtin
Casey Davidson
Susan Odum
Leo Spector
Publication date: 01-05-2021
Publisher: Springer Paris
Keywords: Osteoarthritis of the Hip
Arthritis
Osteoarthritis of the Hip
Pathology
Back Pain
Back Pain
Back Pain
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2021
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-020-02826-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2021

An unusual pattern of posterior wall fracture of acetabulum

Regional vitamin C in Bier block reduces the incidence of CRPS-1 following distal radius fracture surgery

Hypodermic needle fixation without fluoroscopy versus k-wire fixation with fluoroscopy for distal phalangeal fractures: a comparative study

Association of trauma severity scores with limb amputation and death in acute leg compartment syndrome

Sequential ilioinguinal or anterior intrapelvic approach with anterior approach to the hip during combined internal fixation and total hip arthroplasty for acetabular fractures

Comparison of 5-year postoperative results between standard-length stems and short stems in one-stage bilateral total hip arthroplasty: a randomized controlled trial