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Updated: May 21, 2026

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Commentary: Is the hip bone connected to the spine bone?
James I Huddleston1, William J Maloney
1Department of Orthopedic Surgery, Stanford Medicine Outpatient Center, 450 Broadway St, Mailcode 6342, Redwood City, CA 94063, USA. jhuddleston@stanford.edu
Insights
This study examines how coexisting lumbar spine disorders affect total hip arthroplasty outcomes and costs. Findings suggest these spinal conditions may influence patient recovery and healthcare expenses following hip replacement surgery.
Area of Science:
- Orthopedic surgery
- Spine disorders
- Hip arthroplasty outcomes
Background:
- Total hip arthroplasty (THA) is a common procedure for hip arthritis.
- Coexisting lumbar spine disorders are frequently observed in patients undergoing THA.
- The impact of these spinal conditions on THA outcomes is not fully understood.
Purpose of the Study:
- To investigate the association between lumbar spine disorders and clinical outcomes after THA.
- To evaluate the effect of coexisting lumbar spine disorders on physician charges related to THA.
- To provide insights into managing patients with combined hip and spine pathology.
Main Methods:
- Retrospective review of patients undergoing THA.
- Analysis of clinical outcomes, including pain, function, and complication rates.
- Assessment of physician charges and resource utilization.
- Comparison between patients with and without coexistent lumbar spine disorders.
Main Results:
- Patients with lumbar spine disorders demonstrated altered clinical outcomes post-THA.
- Significant differences were observed in physician charges between the two groups.
- Lumbar spine pathology may be an independent predictor of THA outcomes and costs.
Conclusions:
- Coexistent lumbar spine disorders significantly impact clinical outcomes and physician charges following total hip arthroplasty.
- Consideration of spinal health is crucial for optimizing THA patient management.
- Further research is warranted to elucidate the mechanisms and guide treatment strategies.
Commentary On:
Prather H, Van Dillen LR, Kymes SM, et al. Impact of coexistent lumbar spine disorders on clinical outcomes and physician charges associated with total hip arthroplasty. Spine J 2012;12:363-9 (in this issue).
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