Association of Hip Osteoarthritis with Lumbar Degenerative Spondyolisthesis. Hip-Spine Syndrome Tadatsugu Morimoto 1 , Keisuke Nishida 2 , Masamori Shigematsu 1 , Motoki Sonohata 1 , Masaaki Mawatari 1 , Takao Hotokebuchi 1 1Department of Orthopaedic Surgery, Faculty of Medicine, Saga University 2Department of Orthopaedic Surgery, Koyanagi Memorial Hospital Keyword: hip-spine症候群(hip-spine syndrome) , 変形性股関節症(osteoarthritis of the hip) , 腰椎すべり(lumbar spondylolisthesis) pp.683-687
Published Date 2008/7/25
DOI https://doi.org/10.11477/mf.1408101323
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 We assessed the coexistence of degenerative spondylolisthesis(DSO) in patients with hip osteoarthritis(OAH). Subjects were 247 women with OAH(aged 40-89). The configuration of the L4 lamina was classified into X and M+W based on the Oda classification. DSO in OAH was recorded in 31%. The incidence of DSO and the ratio of M+W type increased with age. DSO at L4/5 was recorded in 8% in X type and 41% in M+W type. Based on the fact that DSO occurs fairly commonly with OAH, a group of patients seems to develop OAH from the spine to the pelvis due to either genetic or hormonal factors. Otherwise, the high incidence of M+W type in older patients means that some cases with M+W type have been transformed by remodeling from X type due to dynamic factors related to hip contracture.

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