Prevalence of hip pathology in patients over age 50 with spinal conditions requiring surgery

Byung Ho Lee, seonghwan moon, Hwan Mo Lee, Tae Hwan Kim, Seung Ju Lee

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: The objective of this study was to evaluate of prevalence of co-existing spine and hip disease using initial screening kidney-ureter-bladder (KUB) radiograph in patients over 50 who underwent spinal surgery. Materials and Methods: The study subjects were 388 patients (male: female=117:271; mean age 62.0 years) who underwent spinal surgery between 2008 and 2010. We retrospectively reviewed the initial KUB radiographs used to diagnose the spine and hip disease. Depending on the extent of acetabular and hip joint visualization in KUB, we divided the subjects into three groups: Acetabulum, hip joint, and femoral neck visualization. The hip visualization rate was also assessed with respect to patient height. χ 2 and logistic regression test were used for statistical analysis. Results: 126 (32.5%) cases had significant hip pathology including hip osteoarthritis (Kellgren/Lawrence grade 3 in 123 cases, grade 4 in 3 cases) and avascular necrosis (1 case each of Ficat stage IIA and IIB), and 8 cases had other morphologic abnormalities. Regarding acetabulum-hip visualization in KUB, 7 (1.8%) cases had acetabulum visualization only, 16 (4.1%) had hip joint visualization, and 365 (94.1%) had femoral neck including lesser trochanter visualization. Patients were categorized into four groups according to height (less than 150 cm, 150-159 cm, 160-169 cm, greater than 170 cm). The hip visualization rates differed significantly among these four groups (P<0.05). Conclusions: The prevalence of discernible hip pathology in patients who underwent spinal surgery was 32.5%. Hip joint visualization was excellent (98.2%) in KUB radiographs. Hence, spinal surgeons should pay attention to hip pathology in surgically indicated spinal patients.

Original languageEnglish
Pages (from-to)291-296
Number of pages6
JournalIndian Journal of Orthopaedics
Volume46
Issue number3
DOIs
Publication statusPublished - 2012 May 1

Fingerprint

Hip
Pathology
Ureter
Hip Joint
Urinary Bladder
Acetabulum
Kidney
Femur Neck
Spine
Hip Osteoarthritis
Femur
Necrosis
Logistic Models

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this

Lee, Byung Ho ; moon, seonghwan ; Lee, Hwan Mo ; Kim, Tae Hwan ; Lee, Seung Ju. / Prevalence of hip pathology in patients over age 50 with spinal conditions requiring surgery. In: Indian Journal of Orthopaedics. 2012 ; Vol. 46, No. 3. pp. 291-296.
@article{4470507863cf4d40a03dc2743b1ffe80,
title = "Prevalence of hip pathology in patients over age 50 with spinal conditions requiring surgery",
abstract = "Background: The objective of this study was to evaluate of prevalence of co-existing spine and hip disease using initial screening kidney-ureter-bladder (KUB) radiograph in patients over 50 who underwent spinal surgery. Materials and Methods: The study subjects were 388 patients (male: female=117:271; mean age 62.0 years) who underwent spinal surgery between 2008 and 2010. We retrospectively reviewed the initial KUB radiographs used to diagnose the spine and hip disease. Depending on the extent of acetabular and hip joint visualization in KUB, we divided the subjects into three groups: Acetabulum, hip joint, and femoral neck visualization. The hip visualization rate was also assessed with respect to patient height. χ 2 and logistic regression test were used for statistical analysis. Results: 126 (32.5{\%}) cases had significant hip pathology including hip osteoarthritis (Kellgren/Lawrence grade 3 in 123 cases, grade 4 in 3 cases) and avascular necrosis (1 case each of Ficat stage IIA and IIB), and 8 cases had other morphologic abnormalities. Regarding acetabulum-hip visualization in KUB, 7 (1.8{\%}) cases had acetabulum visualization only, 16 (4.1{\%}) had hip joint visualization, and 365 (94.1{\%}) had femoral neck including lesser trochanter visualization. Patients were categorized into four groups according to height (less than 150 cm, 150-159 cm, 160-169 cm, greater than 170 cm). The hip visualization rates differed significantly among these four groups (P<0.05). Conclusions: The prevalence of discernible hip pathology in patients who underwent spinal surgery was 32.5{\%}. Hip joint visualization was excellent (98.2{\%}) in KUB radiographs. Hence, spinal surgeons should pay attention to hip pathology in surgically indicated spinal patients.",
author = "Lee, {Byung Ho} and seonghwan moon and Lee, {Hwan Mo} and Kim, {Tae Hwan} and Lee, {Seung Ju}",
year = "2012",
month = "5",
day = "1",
doi = "10.4103/0019-5413.96386",
language = "English",
volume = "46",
pages = "291--296",
journal = "Indian Journal of Orthopaedics",
issn = "0019-5413",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "3",

}

Prevalence of hip pathology in patients over age 50 with spinal conditions requiring surgery. / Lee, Byung Ho; moon, seonghwan; Lee, Hwan Mo; Kim, Tae Hwan; Lee, Seung Ju.

In: Indian Journal of Orthopaedics, Vol. 46, No. 3, 01.05.2012, p. 291-296.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence of hip pathology in patients over age 50 with spinal conditions requiring surgery

AU - Lee, Byung Ho

AU - moon, seonghwan

AU - Lee, Hwan Mo

AU - Kim, Tae Hwan

AU - Lee, Seung Ju

PY - 2012/5/1

Y1 - 2012/5/1

N2 - Background: The objective of this study was to evaluate of prevalence of co-existing spine and hip disease using initial screening kidney-ureter-bladder (KUB) radiograph in patients over 50 who underwent spinal surgery. Materials and Methods: The study subjects were 388 patients (male: female=117:271; mean age 62.0 years) who underwent spinal surgery between 2008 and 2010. We retrospectively reviewed the initial KUB radiographs used to diagnose the spine and hip disease. Depending on the extent of acetabular and hip joint visualization in KUB, we divided the subjects into three groups: Acetabulum, hip joint, and femoral neck visualization. The hip visualization rate was also assessed with respect to patient height. χ 2 and logistic regression test were used for statistical analysis. Results: 126 (32.5%) cases had significant hip pathology including hip osteoarthritis (Kellgren/Lawrence grade 3 in 123 cases, grade 4 in 3 cases) and avascular necrosis (1 case each of Ficat stage IIA and IIB), and 8 cases had other morphologic abnormalities. Regarding acetabulum-hip visualization in KUB, 7 (1.8%) cases had acetabulum visualization only, 16 (4.1%) had hip joint visualization, and 365 (94.1%) had femoral neck including lesser trochanter visualization. Patients were categorized into four groups according to height (less than 150 cm, 150-159 cm, 160-169 cm, greater than 170 cm). The hip visualization rates differed significantly among these four groups (P<0.05). Conclusions: The prevalence of discernible hip pathology in patients who underwent spinal surgery was 32.5%. Hip joint visualization was excellent (98.2%) in KUB radiographs. Hence, spinal surgeons should pay attention to hip pathology in surgically indicated spinal patients.

AB - Background: The objective of this study was to evaluate of prevalence of co-existing spine and hip disease using initial screening kidney-ureter-bladder (KUB) radiograph in patients over 50 who underwent spinal surgery. Materials and Methods: The study subjects were 388 patients (male: female=117:271; mean age 62.0 years) who underwent spinal surgery between 2008 and 2010. We retrospectively reviewed the initial KUB radiographs used to diagnose the spine and hip disease. Depending on the extent of acetabular and hip joint visualization in KUB, we divided the subjects into three groups: Acetabulum, hip joint, and femoral neck visualization. The hip visualization rate was also assessed with respect to patient height. χ 2 and logistic regression test were used for statistical analysis. Results: 126 (32.5%) cases had significant hip pathology including hip osteoarthritis (Kellgren/Lawrence grade 3 in 123 cases, grade 4 in 3 cases) and avascular necrosis (1 case each of Ficat stage IIA and IIB), and 8 cases had other morphologic abnormalities. Regarding acetabulum-hip visualization in KUB, 7 (1.8%) cases had acetabulum visualization only, 16 (4.1%) had hip joint visualization, and 365 (94.1%) had femoral neck including lesser trochanter visualization. Patients were categorized into four groups according to height (less than 150 cm, 150-159 cm, 160-169 cm, greater than 170 cm). The hip visualization rates differed significantly among these four groups (P<0.05). Conclusions: The prevalence of discernible hip pathology in patients who underwent spinal surgery was 32.5%. Hip joint visualization was excellent (98.2%) in KUB radiographs. Hence, spinal surgeons should pay attention to hip pathology in surgically indicated spinal patients.

UR - http://www.scopus.com/inward/record.url?scp=84862524778&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84862524778&partnerID=8YFLogxK

U2 - 10.4103/0019-5413.96386

DO - 10.4103/0019-5413.96386

M3 - Article

C2 - 22719115

AN - SCOPUS:84862524778

VL - 46

SP - 291

EP - 296

JO - Indian Journal of Orthopaedics

JF - Indian Journal of Orthopaedics

SN - 0019-5413

IS - 3

ER -