scholarly journals Relieved Low Back Pain after Total Hip Arthroplasty in Patients with Both Hip Osteoarthritis and Lumbar Degenerative Disease

2021 ◽  
Author(s):  
Tian‐fei Ran ◽  
Song Ke ◽  
Jie Li ◽  
Ming‐rui Lyu ◽  
Yuan‐yuan Zhou ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Osteoarthritis ◽  
Degenerative Disease ◽  
Low Back ◽  
Lumbar Degenerative Disease ◽  
Total Hip

scholarly journals THA First: Low Back Pain in Patients with Both Hip Osteoarthritis and Lumbar Degenerative Disease is Relieved after Total Hip Arthroplasty

2020 ◽  
Author(s):  
Tianfei Ran ◽  
Song Ke ◽  
Mingrui Lv ◽  
Jie Li ◽  
Xin Song ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Osteoarthritis ◽  
Degenerative Disease ◽  
Low Back ◽  
Lumbar Degenerative Disease ◽  
Total Hip ◽  
Operation Group

Abstract Background: With the aging of population, the number of patients suffering from hip osteoarthritis complicated with lumbar degenerative disease is increasing. Both diseases may require surgery, however, which is first? the sequence of total hip arthroplasty (THA) and lumbar surgery remains controversial. Methods: The data of our hospital, from 2010 to 2019 were retrieved, and a group of patients who had undergone total hip replacement (THA, n = 153) and also suffered from lumbar degenerative diseases were identified. We studied the improvement of hip joint function and the relief of low back pain (LBP), and also discussed the effect of unilateral and bilateral THA on the relief of LBP. Results: The LBP visual analysis scale (VAS) of 153 patients decreased from (4.13 ± 1.37) preoperatively to (1.90 ± 1.44) postoperatively. The average Harris Hip score (HHS) increased from 45.33 ± 13.23 preoperatively to 86.44 ± 7.59 postoperatively of the latest follow-up. According to Japanese Orthopedic Association (JOA) scoring system, the proportion of patients with good response to treatment in the clinical results of these 153 patients reached 93.46%. LBP VAS decreased from 4.18 ± 1.38 preoperatively to 1.95 ± 1.49 postoperatively in unilateral group and from 3.94 ± 1.32 preoperatively to 1.73 ± 1.23 postoperatively in bilateral group respectively. These results showed that the lumbar pain was relieved significantly after surgery. Conclusion: THA can relieve LBP while relieve hip pain and restore hip function. And the relief of LBP and recovery of lumbar function in unilateral operation group were better than those in bilateral operation group. These findings can be helpful to surgeons in making decisions. For patients with both hip disease and lumbar degenerative disease, THA first may bring additional benefits to patients.

scholarly journals Hip-Spine Syndrome: Study of Low Back Pain and Pelvic Inclination after Total Hip Arthroplasty in Osteoarthrosis of the Hip.

2003 ◽  
Vol 52 (2) ◽  
pp. 356-360 ◽  
Author(s):  
Tadatsugu Morimoto ◽  
Katsuhiro Aida ◽  
Keisuke Nishida ◽  
Kenji Tsunoda ◽  
Kazumasa Maeda ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Low Back ◽  
Total Hip ◽  
Pelvic Inclination

The Effect of Total Hip Arthroplasty on Preoperative Low Back Pain in Secondary Hip-Spine Syndrome: A Radiographic Study

2015 ◽  
Vol 15 (10) ◽  
pp. S152-S153
Author(s):  
Xiao Han ◽  
Weijun Wang ◽  
Mingda Wu ◽  
Fei Liu ◽  
Minghui Sun ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Low Back ◽  
Radiographic Study ◽  
Total Hip

scholarly journals Factors Associated With Early Improvement in Low Back Pain After Total Hip Arthroplasty: A Multi-Center Prospective Cohort Analyses

2016 ◽  
Vol 31 (1) ◽  
pp. 176-179 ◽  
Author(s):  
Peter C. Chimenti ◽  
Christopher J. Drinkwater ◽  
Wenjun Li ◽  
Celeste A. Lemay ◽  
Patricia D. Franklin ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Prospective Cohort ◽  
Low Back ◽  
Early Improvement ◽  
Factors Associated ◽  
Total Hip ◽  
Cohort Analyses

scholarly journals Effect of Spinal Alignment Changes on Low Back Pain in Patients Treated with Total Hip Arthroplasty for Hip Osteoarthritis

2020 ◽  
Author(s):  
Fumiko Saiki ◽  
Takeyuki Tanaka ◽  
Naohiro Tachibana ◽  
Hirofumi Oshima ◽  
Taizo Kaneko ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Low Back ◽  
Spinal Alignment ◽  
Total Hip ◽  
Patient Reported ◽  
Spinal Sagittal Alignment

Abstract BackgroundTotal hip arthroplasty (THA) is an established procedure for patients with osteoarthritis (OA) of the hip joint that effectively relieves pain and restores function. Because contracture of the hip joint as well as preoperative leg length discrepancy is expected to improve by the surgery, it would be reasonable to speculate that spinal sagittal alignment will also change. However, the influence of spinal alignment changes on clinical symptoms, such as low back pain (LBP), remains controversial. In this study, we aimed to evaluate the associations between spinal alignment changes and improvement in preoperative LBP after THA.MethodsFrom November 2015 to January 2017, 104 consecutive patients who underwent THA were prospectively enrolled. Whole spine X-rays were obtained preoperatively and 12 months postoperatively. The patient-reported outcomes (PROs) used were the Numerical Rating Scale (NRS) for back pain, EuroQol 5 Dimension, and Short Form-12. The presence of LBP was defined as an NRS of ≥4. Changes in spinal alignment and PROs before and after surgery were evaluated.ResultsSeventy-four (71%) patients were included in the study. The sagittal spinal parameters changed slightly but significantly; pelvic incidence (PI) decreased, pelvic tilt (PT) increased, and sacral slope decreased. Coronal spinal alignment significantly improved after surgery. Twenty-six (37%) patients had LBP preoperatively. The patients with preoperative LBP had smaller lumbar lordosis (LL), larger PT, and larger PI minus LL than those in the patients without. Fourteen (54%) of the 26 patients with preoperative LBP showed improvement, but there were no significant differences in the pre- and postoperative radiographic parameters.ConclusionAlthough preoperative LBP was likely to resolve after THR, there were no significant correlations between alignment changes and LBP improvement. The cause of LBP in patients with hip OA patients might be multifactorial.

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