Results of surgical treatment of patients with hip-spine syndrome: approbation of the algorithm of rational surgical tactics

• Main Authors: Alexey L. Kudyashev, Vladimir V. Khominets, Vladimir M. Shapovalov, Pavel A. Metlenko, Filipp V. Miroevskii, Mikhail V. Rezvantsev, Andrey V. Teremshonok, Konstantin E. Korostelev, Vladimir D. Besedin, Vladimir V. Skvortsov
• Format: Article
• Language: English
• Published: Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" 2018-03-01
• Series: Хирургия позвоночника
• Subjects: hip-spine syndrome; tactics of surgical treatment
• Online Access: https://www.spinesurgery.ru/jour/article/view/1423/1390

Objective. To present comparative analysis of mid- and long-term results of surgical treatment in patients with hip-spine syndrome operated on using conventional approaches and the developed algorithm. Material and Methods. The study included 175 patients aged 54.4 ± 12.7 years with grade III coxarthrosis combined with degenerative disease of the spine and vertebrogenic pain syndrome, who were admitted at the clinic for hip replacement. The study (n = 94) and comparison (n = 81) groups were identified. In the study group, the developed algorithm of rational surgical tactics was applied, and in the comparison group, standard approaches to the choice of surgical tactics were used. Results of surgical treatment in 134 patients were achieved, on average, in 9 months after surgery. Long-term results were evaluated in 55 patients, on average, in 61 months after hip replacement. Results. Using the developed algorithm allowed to increase the number of patients with good clinical and functional results, and to achieve better performance of the hip joint. The analysis of changes in patients’ satisfaction with the results of treatment demonstrated significantly higher rating of long-term outcomes as compared to mid-term. Analysis of pelvis-spine relationships confirmed the effect of hip replacement on the sagittal and frontal trunk balance. Conclusion. The developed approaches to the choice of rational surgical tactics in patients with hip-spine syndrome allows reliable improving of mid- and long-term results of surgical treatment.