Outcomes of Hip Arthroscopy in Patients With Previous Lumbar Spine Surgery: A Matched-Pair Controlled Comparative Study With Minimum Two-Year Follow-Up

Outcomes of Hip Arthroscopy in Patients With Previous Lumbar Spine Surgery: A Matched-Pair Controlled Comparative Study With Minimum Two-Year Follow-Up

Authors

Chandrasekaran S, Darwish N, Darwish AH, Suarez-Ahedo C, Lodhia P, Domb BG
Journal: Arthroscopy. 2019 Feb;35(2):443-450.
DOI: 10.1016/j.arthro.2018.09.007
PMID: 30612764

Background

This study examines whether prior lumbar spine surgery (LSS) influences the outcomes of hip arthroscopy for labral tears.

Methods

A matched-pair study compared 57 patients with prior LSS to 57 controls without LSS. Outcomes were assessed using PRO scores, pain levels, patient satisfaction, and rates of revision surgery or conversion to THA.

Key Findings

Both groups showed significant improvements in PRO scores and VAS scores. The LSS group had lower preoperative scores but experienced similar improvements compared to controls, except for the Non-Arthritic Hip Score (NAHS), where the LSS group showed a greater improvement.

Conclusions

Prior lumbar spine surgery does not significantly affect the clinical outcomes of hip arthroscopy. Patients with a history of LSS can expect similar improvements and complication rates as those without prior spine surgery.

What Does This Mean for Patients

Patients with prior lumbar spine surgery undergoing hip arthroscopy should have their expectations managed, but they can expect similar functional improvements to those without spine surgery.

DOI: 10.1016/j.arthro.2018.09.007