Spinopelvic imbalances are associated with worse postoperative functional outcomes in patients undergoing total hip arthroplasty

Bilateral psoas release for long standing hip-spine syndrome: surgical technique and case report

“…Hip-spine syndrome has been specially recognized in adult spinal deformity (ASD) as severe hip osteoarthritis (OA) often occurs in patients with spinal deformity [2] , [3] , [4] , [5] , [6] . When both spinal realignment and hip replacement are indicated, the order of the operations is challenging to determine [7] , [8] , [9] , [10] , with several studies supporting a spinal realignment first due to the impact of restoring lumbar lordosis on the acetabular version and cup placement which can lead to hip dislocation if spinal deformity is corrected second [11] , [12] , [13] .…”