Hip-spine<i></i>Syndrome and its Significance in Complex Treatment of Patients with Combination of Degenerative Dystrophic Pathology of Hip Joint and Spine (literature review)

Abstract

In foreign literature a combination of degenerative dystrophic changes in hip joint and lumbosacral spine accompanied by their mutual aggravation is referred to as hip-spine (coxo-vertebral)syndrome. This pathologic condition is characterized by the variety of clinical forms, morphologic manifestations and degrees of the pathologic process intensity that predetermines objective difficulties in diagnosis and treatment of such patients. The main role in the process of degenerative dystrophic changed development is played by biomechanical factors including vertebropelvic relationships. In the overwhelming majority of patients with coxarthrosis the low back pain is caused by the changes in spinal motion segments that progress with the development of hip deforming arthrosis resulting in biomechanical disorders. All that leads to objective difficulties in diagnosis of this complex pathology and patients’ dissatisfaction with the hip arthroplasty results.