Hip spine syndrome
Citation, DOI, disclosures and article data
At the time the article was created Henry Knipe had no recorded disclosures.View Henry Knipe's current disclosures
At the time the article was last revised Henry Knipe had no recorded disclosures.View Henry Knipe's current disclosures
Hip spine syndrome is one term used to describe the clinical association between hip osteoarthritis and degenerative lumbar spinal canal stenosis due to overlapping pain distribution.
On this page:
Patients with hip spine syndrome have hip and lumbar spine degeneration and present with buttock, thigh and/or knee pain 2. Groin and/or buttock pain are thought to be specific markers for hip pathology 1,2.
Hip spine syndrome has been classified into four types 1,3:
- simple (primary): symptomatic hip and lumbar pathology but straightforward clinical differentiation
- secondary: symptomatic hip and lumbar pathology where one has caused the other
- complex: symptomatic hip and lumbar pathology but clinical identification of the source of pain is not possible
- misdiagnosed: hip and lumbar pathology with inappropriate treatment resulting in ongoing symptoms
Treatment and prognosis
In patients with hip-spine syndrome where the pain source cannot be identified, an image-guided hip joint injection is an accurate diagnostic test 4.
- peripheral vascular disease
- peripheral neuropathy, e.g. diabetic
- pelvic pathology, e.g. metastases, Paget disease, sacral insufficiency fracture, osteonecrosis 2
- 1. Younus A & Kelly A. Hip Spine Syndrome – A Case Series and Literature Review. Interdisciplinary Neurosurgery. 2021;23:100960. doi:10.1016/j.inat.2020.100960
- 2. Devin C, McCullough K, Morris B, Yates A, Kang J. Hip-spine Syndrome. J Am Acad Orthop Surg. 2012;20(7):434-442. doi:10.5435/jaaos-20-07-434
- 3. Prather H & Dillen L. Links Between the Hip and the Lumbar Spine (Hip Spine Syndrome) As They Relate to Clinical Decision Making for Patients with Lumbopelvic Pain. PM&R. 2019;11(S1). doi:10.1002/pmrj.12187
- 4. Maldonado D, Mu B, Ornelas J et al. Hip-Spine Syndrome: The Diagnostic Utility of Guided Intra-articular Hip Injections. Adv Orthop. 2020;43(2). doi:10.3928/01477447-20191223-05