Hip-Spine Syndrome

Offierski, C M; Macnab, Ian

doi:10.1097/00007632-198304000-00014

Cited by 433 publications

(232 citation statements)

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“…The hip spine syndrome was first described by Offierski and Macnab [8]. In their article they emphasise the need to investigate the source of the disability, because co-existing hip and spine pathology can give a very confusing clinical picture and can lead to faulty diagnosis and false treatment.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of low back pain and lumbar spine degenerative disorders. Questionnaire survey and clinical–radiological analysis of a representative Hungarian population

Horváth

Koroknai

Ács

et al. 2009

International Orthopaedics (SICOT)

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A cross-sectional epidemiological study via personal interviews was performed regarding low back pain and its related clinical aspects in a Hungarian sample of 10,000 people. Joining the international campaign of the "Bone and Joint Decade", our aim was to give data on low back pain prevalence and to explore the underlying possible clinical conditions in a Central European adult and adolescent population. Ten thousand people aged 14-65, selected randomly by the Hungarian central office of statistics from three counties of the south-western Hungarian region, were surveyed using a special questionnaire focusing on low back pain and other degenerative spinal symptoms. People with low back pain complaints and written consent were asked to participate in a further clinical investigation, where radiological and clinical assessment was performed. A total of 4,389 persons (44.1%) reported low back pain in the last month at the time of the survey. Work absenteeism due to low back pain affected 2,140 persons (21.5%). A total of 292 people (2.9%) had already undergone spinal surgery. Upon request 682 people came for a clinical follow-up, where thorough physical examination and radiological analysis was performed and results were statistically interpreted. The Oswestry disability index (ODI) in the examined group of patients averaged 35.1%; radiological degenerative signs were observed in 392/682 (57.5%). Individuals with signs of radiological degeneration had a statistically significant higher ODI value, age, and a higher, yet not significantly increased BMI value than radiographically negative patients (p<0.05). Co-existence of hip and knee osteoarthritis was also investigated. Higher osteoarthritis prevalence was found in individuals with radiographic signs of spinal degeneration. Details of the survey and clinical investigations are discussed.

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Section: Introductionmentioning

confidence: 99%

Prevalence of low back pain and lumbar spine degenerative disorders. Questionnaire survey and clinical–radiological analysis of a representative Hungarian population

Horváth

Koroknai

Ács

et al. 2009

International Orthopaedics (SICOT)

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“…Slip in DS is most often of grade I. Stenosis at more than one level is common but correlation between symptoms and radiologic findings is often poor making treatment decisions complex (Boden et al 1990;Jensen et al 1994). Furthermore, other common diseases in the elderly, such as degenerative hip and knee disease, polyneuropathy and arterial occlusive disease (sometime giving vascular claudication) act as masqueraders of spinal stenosis and can coexist with a radiological stenosis further complicating treatment decisions (Offierski and Macnab 1983;Haig and Tomkins 2010). Subsequently, ruling out these masqueraders can be a concern for the spinal surgeon, as well as evaluating to what extent the lumbar spinal stenosis contributes to the clinical symptoms (Haig and Tomkins 2010).…”

Section: Lumbar Spinal Stenosis -Clinical and Radiological Characterimentioning

confidence: 99%

Determinants of outcome in lumbar spinal stenosis surgery

Sigmundsson¹

2014

Acta Orthopaedica

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Cover illustration: "Spine Talk", acryl paint on stretched canvas. The painting was created in 2008 by the Canadian artist Barbara C. St Jean and is a painting of two people talking to each other over top of a spine of another. The painting was created to illustrate the problems associated with back pain and the discussions with medical professionals over the causes and treatment options. By permission from the artist.

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“…12). This situation can be encountered in native hips in the case of excessive posterior tilt of the pelvis (abnormal posture, trunk aging and induced posterior coxarthrosis) (Hammerberg & Wood, 2003;Itoi, 1991;Lafage et al, 2009;Offierski & MacNab, 1983).…”

Section: Disruptions Can Come From Atypical Posturesmentioning

confidence: 99%