切换至 "中华医学电子期刊资源库"

中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 549 -553. doi: 10.3877/cma.j.issn.1674-134X.2023.04.013

综述

髋腰综合征诊断与手术治疗的研究进展
张银银, 李颖(), 李启活, 郭海威, 田瀚, 钟业霖   
  1. 510405 广州中医药大学第三临床医学院
    510378 广州中医药大学第三附属医院脊柱外科;510405 广州中医药大学第三临床医学院
    510378 广州中医药大学第三附属医院脊柱外科
  • 收稿日期:2022-10-28 出版日期:2023-08-01
  • 通信作者: 李颖

Research progress on diagnosis and surgical treatment of hip-spine syndrome

Yinyin Zhang, Ying Li(), Qihuo Li, Haiwei Guo, Han Tian, Yelin Zhong   

  1. The Third Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
    Department of Spinal, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510378, China; The Third Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
    Department of Spinal, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510378, China
  • Received:2022-10-28 Published:2023-08-01
  • Corresponding author: Ying Li
引用本文:

张银银, 李颖, 李启活, 郭海威, 田瀚, 钟业霖. 髋腰综合征诊断与手术治疗的研究进展[J/OL]. 中华关节外科杂志(电子版), 2023, 17(04): 549-553.

Yinyin Zhang, Ying Li, Qihuo Li, Haiwei Guo, Han Tian, Yelin Zhong. Research progress on diagnosis and surgical treatment of hip-spine syndrome[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 549-553.

髋腰综合征最早由Offierski在1983年提出,并将髋腰综合征主要分为3种类型。髋关节和脊柱由于在解剖位置邻近,生物力学上关系密切,导致髋关节和脊柱的退行性疾病在临床症状中有很多类似之处,如二者都可能会出现下腰部疼痛,给临床诊断与治疗带来许多困难。在诊断此类疾病时临床医师应把髋关节和脊柱作为一个密不可分的整体,查体时应仔细,避免因查体部位的遗漏导致的误诊,同时治疗也应兼顾髋关节与脊柱。髋腰综合征常见的手术治疗方式主要分为脊柱手术和髋关节手术,对于需要行这两种手术方式的髋腰综合征患者,何种手术应优先进行尚未有确切定论,目前的共识是应根据患者的病变部位及严重程度选择合适的手术方式和手术时机,及时做出干预,防止病情进一步进展。

Hip-Spine syndrome was first proposed by Offierski in 1983, and it was mainly divided into three types. Hip and spine are close in anatomical location and biomechanical relationship, which leads to many similarities in clinical symptoms of degenerative diseases of hip and spine. For example, both of them may have lower back pain, which brings many difficulties to clinical diagnosis and treatment. In the diagnosis of such diseases, clinicians should take the hip and spine as an inseparable whole. Physical examination should be careful to avoid misdiagnosis caused by the omission of the physical examination site. At the same time, the treatment should also take into account the hip and spine. Common surgical treatments for hip-spine syndrome are mainly divided into spinal surgery and hip surgery. For hip-spine syndrome patients requiring these two surgical methods, there is still no definitive conclusion on which surgery should be preferred. The current consensus is that appropriate surgical methods and timing should be selected according to the lesion site and severity of the patient, and timely intervention should be made to prevent further progression of the disease.

[1]
Offierski CM, MacNab I. Hip-spine syndrome[J]. Spine, 1983, 8(3): 316-321.
[2]
Youssef JA, Orndorff DO, Patty CA, et al. Current status of adult spinal deformity[J]. Global Spine J, 2013, 3(1): 51-62.
[3]
Diebo BG, Day LM, Lafage R, et al. Radiographic categorization of the hip-spine syndrome in the setting of hip osteoarthritis and sagittal spinal malalignment[J]. J Am Acad Orthop Surg, 2019, 27(17): 659-666.
[4]
Gómez-Hoyos J. Editorial commentary: hip-spine syndrome: when the hip does not move, the spine labors double[J]. Arthroscopy, 2021, 37(5): 1510-1511.
[5]
Sullivan TB, Lynch CP, Cha EDK, et al. Impact of lower extremity arthroplasty on improvement of quality-of-life outcomes following lumbar fusion[J]. IntJSpine Surg, 2022, 16(6): 1016-1022.
[6]
Lesher JM, Dreyfuss P, Hager N, et al. Hip joint pain referral patterns: a descriptive study[J]. Pain Med, 2008, 9(1): 22-25.
[7]
Devin CJ, McCullough KA, Morris BJ, et al. Hip-spine syndrome[J]. J Am Acad Orthop Surg, 2012, 20(7): 434-442.
[8]
Brown MD, Gomez-Marin O, Brookfield KF, et al. Differential diagnosis of hip disease versus spine disease[J]. Clin Orthop Relat Res, 2004(419): 280-284.
[9]
Feng R, Hatem M, Nimmons SJ, et al. Hip physical examination extension loss and radiographic osseous findings in patients with low back pain and nonarthritic hips[J]. Proc, 2022, 35(4): 455-459.
[10]
Hadziahmetovic NV, Aganovic D, Kadic A, et al. Short-term results after local application of steroids and anesthetics in patients with painful spine conditions[J]. Med Arch, 2014, 68(2): 121-123.
[11]
Maldonado DR, Mu BH, Ornelas J, et al. Hip-spine syndrome: the diagnostic utility of guided intra-articular hip injections[J/OL]. Orthopedics, 2020, 43(2): e65-e71. DOI: 10.3928/01477447-20191223-05.
[12]
Ben-Galim P, Ben-Galim T, Rand N, et al. Hip-spine syndrome: the effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip[J]. Spine, 2007, 32(19): 2099-2102.
[13]
Ye JJ, Chen ZY, Zhu Z, et al. Short and medium term follow-up study on the changes of spine pelvic parameters in patients with hip-spine syndrome after total hip arthroplasty[J]. Zhongguo Gu Shang, 2020, 33(11): 995-1000.
[14]
Redmond JM, Gupta A, Hammarstedt JE, et al. The hip-spine syndrome: how does back pain impact the indications and outcomes of hip arthroscopy?[J]. Arthroscopy, 2014, 30(7): 872-881.
[15]
Ran TF, Ke S, Li J, et al. Relieved low back pain after total hip arthroplasty in patients with both hip osteoarthritis and lumbar degenerative disease[J]. Orthop Surg, 2021, 13(6): 1882-1889.
[16]
易林洪,郑欣,赵凤朝,等. 髋关节疾病脊柱骨盆矢状面平衡研究现状和发展[J/CD]. 中华关节外科杂志(电子版), 2018, 12(2): 251-255.
[17]
Sasaki K, Hongo M, Miyakoshi N, et al. Evaluation of sagittal spine-pelvis-lower limb alignment in elderly women with pelvic retroversion while standing and walking using a three-dimensional musculoskeletal model[J]. Asian Spine J, 2017, 11(4): 562-569.
[18]
Grammatopoulos G, Dhaliwal K, Pradhan R, et al. Does lumbar arthrodesis compromise outcome of total hip arthroplasty?[J]. Hip Int, 2019, 29(5): 496-503.
[19]
Lazennec JY, Folinais D, Bendaya S, et al. The global alignment in patients with lumbar spinal stenosis: our experience using the EOS full-body images[J]. Eur J Orthop Surg Traumatol, 2016, 26(7): 713-724.
[20]
Eneqvist T, Bülow E, Nemes S, et al. Does the order of total hip replacement and lumbar spinal stenosis surgery influence patient-reported outcomes: an observational register study[J]. J Orthop Res, 2021, 39(5): 998-1006.
[21]
Ouchida J, Nakashima H, Kanemura T, et al. Impact of the hip joint mobility on whole-body sagittal alignment: prospective analysis in case with hip arthroplasty[J]. Eur Spine J, 2022, 31(9): 2399-2407.
[22]
Shichman I, Ben-Ari E, Sissman E, et al. Total knee arthroplasty in patients with lumbar spinal fusion leads to significant changes in pelvic tilt and sacral slope[J]. Arch Orthop Trauma Surg, 2023, 143(4): 2103-2110.
[23]
Innmann MM, Verhaegen JCF, Reichel F, et al. Spinopelvic characteristics normalize 1 year after total hip arthroplasty: aprospective, longitudinal, case-controlled study[J]. J Bone Joint Surg Am, 2022, 104(8): 675-683.
[24]
Iwai C, Fushimi K, Nozawa S, et al. Surgical management of thoracolumbar scoliosis secondary to hip joint ankylosis and severe pelvic obliquity[J/OL]. Cureus, 2021, 13(11): e19744. DOI: 10.7759/cureus.19744.
[25]
Weinberg DS, Gebhart JJ, Liu RW. Hip-spine syndrome: a cadaveric analysis between osteoarthritis of the lumbar spine and hip joints[J]. Orthop Traumatol Surg Res, 2017, 103(5): 651-656.
[26]
Mullaji AB, Marawar SV, Luthra M. Tibial articular cartilage wear in varus osteoarthritic knees: correlation with anterior cruciate ligament integrity and severity of deformity[J]. J Arthroplasty, 2008, 23(1): 128-135.
[27]
Eneqvist T, Nemes S, Brisby H, et al. Lumbar surgery prior to total hip arthroplasty is associated with worse patient-reported outcomes[J]. Bone Joint J, 2017, 99-B(6): 759-765.
[28]
Eneqvist T, Bülow E, Nemes S, et al. Patients with a previous total hip replacement experience less reduction of back pain following lumbar back surgery[J]. J Orthop Res, 2018, 36(9): 2484-2490.
[29]
Eneqvist T, Nemes S, Bülow E, et al. Can patient-reported outcomes predict re-operations after total hip replacement?[J]. Int Orthop, 2018, 42(2): 273-279.
[30]
Dubousset J, Cotrel Y. Application technique of cotrel-dubousset instrumentation for scoliosis deformities[J]. Clin Orthop Relat Res, 1991(264): 103-110.
[31]
Rivière C, Lazic S, Dagneaux L, et al. Spine-hip relations in patients with hip osteoarthritis[J]. EFORT Open Rev, 2018, 3(2): 39-44.
[32]
Bassani R, Morselli C, Querenghi AM, et al. Video-assisted anterior retroperitoneal approach to the lumbar spine. A minimally invasive technique improved by the use of an endoscopic camera to treat lumbar spinal diseases. Consideration over 269 patients[J]. J Biol Regul Homeost Agents, 2020, 34(4 Suppl.3): 7-14.Congress of the Italian Orthopaedic Research Society.
[33]
Bassani R, Gregori F, Morselli C, et al. Use of lordotic cages in L5-S1 Anterior Lumbar Interbody Fusion (ALIF) procedures[J]. J Biol Regul Homeost Agents, 2020, 34(4 Suppl.3): 23-28.Congress of the Italian Orthopaedic Research Society.
[34]
Grammatopoulos G, Gofton W, Cochran M, et al. Pelvic positioning in the supine position leads to more consistent orientation of the acetabular component after total hip arthroplasty[J]. Bone Joint J, 2018, 100-B(10): 1280-1288.
[35]
Lombardo MDM, Maffulli N, Bassani R, et al. Bilateral THA in the same sitting for avascular necrosis of the head of the femur in sickle cell patient: our African experience[J]. J Biol Regul Homeost Agents, 2020, 34(4 Suppl. 3): 111-114.Congress of the Italian Orthopaedic Research Society.
[1] 王亚红, 蔡胜, 葛志通, 杨筱, 李建初. 颅骨骨膜窦的超声表现一例[J/OL]. 中华医学超声杂志(电子版), 2024, 21(11): 1089-1091.
[2] 唐金侨, 叶宇佳, 王港, 赵彬, 马艳宁. 医学影像学检查方法在颞下颌关节紊乱病中临床应用研究进展[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(06): 406-411.
[3] 赵林娟, 吕婕, 王文胜, 马德茂, 侯涛. 超声引导下染色剂标记切缘的梭柱型和圆柱型保乳区段切除术的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 634-637.
[4] 屈翔宇, 张懿刚, 李浩令, 邱天, 谈燚. USP24及其共表达肿瘤代谢基因在肝细胞癌中的诊断和预后预测作用[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 659-662.
[5] 中华医学会器官移植学分会. 肝移植术后缺血性胆道病变诊断与治疗中国实践指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 739-748.
[6] 郑大雯, 王健东. 胆囊癌辅助诊断研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 769-773.
[7] 袁雨涵, 杨盛力. 体液和组织蛋白质组学分析在肝癌早期分子诊断中的研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 883-888.
[8] 王秋生. 胆道良性疾病诊疗策略[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 779-782.
[9] 王景明, 王磊, 许小多, 邢文强, 张兆岩, 黄伟敏. 腰椎椎旁肌的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 846-852.
[10] 李浩, 陈棋帅, 费发珠, 张宁伟, 李元东, 王硕晨, 任宾. 慢性肝病肝纤维化无创诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 863-867.
[11] 谭瑞义. 小细胞骨肉瘤诊断及治疗研究现状与进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 781-784.
[12] 马豆豆, 丁艳, 古今, 王丽芳, 石连杰. 以发热为首发表现的强直性脊柱炎合并潜伏性结核感染一例[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 791-794.
[13] 王子阳, 王宏宾, 刘晓旌. 血清标志物对甲胎蛋白阴性肝细胞癌诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 677-681.
[14] 陈慧, 邹祖鹏, 周田田, 张艺丹, 张海萍. 皮肤镜对头皮红斑性皮肤病辅助鉴别诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 692-698.
[15] 胡云鹤, 周玉焯, 付瑞瑛, 于凡, 李爱东. CHS-DRG付费制度下GB1分组住院费用影响因素分析与管理策略探讨[J/OL]. 中华临床医师杂志(电子版), 2024, 18(06): 568-574.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?