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Summary. Complaints of pain in the buttocks, hip, knee, and lameness are very common among patients with both degenerative changes in the hip joint and the lumbar spine. Failure to pinpoint the source of pain leads to ineffective treatment. Degenerative stenosis of the transverse spine also manifests itself as pain in the extremities and limitation in walking. This is the most common indication for spinal surgery over the age of 65. Before choosing a treatment option for coxarthrosis, it is necessary to take into account the need for intervention at the level of the lumbosacral spine. In the early stages of the development of pathology, preference should be given to active treatment tactics. It is necessary to inform the category of patients with such clinic of damage to the hip joints and spine about the possibility of increased pain after surgery on only one segment and about the probability of surgery on another segment of the biomechanical triangle at the next stage.
References
Suzuki H, Kanchiku T, Imajo Y, Yoshida Y, Nishida N, Taguchi T. Diagnosis and characters of non-specific low back pain in Japan: the Yamaguchi Low Back Pain Study. PLoS One. 2016;11(8):1-13. DOI: 10.1371/journal.pone.0160454.
Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H, et al. Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a populationbased cohort in Japan: the Wakayama Spine Study. Osteoarthritis and Cartilage. 2012;20(10):1103-1108. DOI: 10.1016/j.joca.2012.06.018.
Kameda M, Tanimae H. Effectiveness of active soft tissue release and trigger point block for the diagnosis and treatment of low back and leg pain of predominantly gluteus medius origin: a report of 115 cases. J Phys Ther Sci. 2019;31(2):141–148. DOI: 10.1589/jpts.31.141.
Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J, 2008;8(1):8-20. DOI: 10.1016/j.spinee.2007.10.005.
Gertsen GI, Dybkalyuk SV, Ostapchuk NP. Treatment of degenerative-dystrophic pathology of the spine segment with lumbar-hip syndrome. Lіtopis travmatologії ta ortopedії. 2003;(1-2):75-78. [in Russian].
Denisov AO, Shilnikov VA, Barns SA. Coxavertebral syndrome and its significance in hip arthroplasty (literature review). Travmatologiya i ortopediya Rossii. 2012;1(63):121-127. [in Russian].
Vakulenko VM, Khudobin VYu, Bublik LA. Degenerative-dystrophic lesions of the hip joints and spine. Travma. 2000;1(1):24-27. [in Russian].
Khvisyuk AN. Hip-lumbar syndrome (pathogenesis, diagnosis, treatment principles): [abstract of dis. for scientific research. step. Dr. med. sciences]. Kharkov: GU IPPS im. prof. M.I. Sitenka NAMNU; 2002. 28 s. [in Russian].
Fogel GR, Esses SI. Hip spine syndrome: management of coexisting radiculopathy and arthritis of the lower extremity. Spine. 2003;3(3):238-241. DOI: 10.1016/s1529-9430(02)00453-9.
Kameda M, Tanimae H, Kihara A, Matsumoto F.Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review. J. Phys. Ther. Sci. 2020;32(2):173-191. DOI: 10.1589/jpts.32.173.
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