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
Evaluates if prior lumbar spine surgery (LSS) affects outcomes after hip arthroscopy for labral tears.
Methods
Matched 57 patients with prior LSS to 57 controls; assessed PROs, pain, satisfaction, revision, and conversion to THA.
Key Findings
- Both groups had significant improvements in PROs and pain.
- LSS group started with lower pre-op scores but achieved similar improvements, with greater gains in NAHS.
- Similar rates of complications and secondary surgeries.
Conclusions:
Prior LSS does not adversely affect hip arthroscopy outcomes.
What Does This Mean for Providers?
- Prior lumbar spine surgery should not preclude hip arthroscopy candidacy.
- Providers can counsel patients with LSS history on expected comparable outcomes and similar risks.
- Adjust preoperative evaluation to consider spine-hip interaction but expect similar recovery trajectories.