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In patients with concurrent hip and spine pathology, does it matter which condition is corrected first?

Orthopedics Today—August 9, 2017

In an counter article by Orthopedics Today, HSS orthopedic spine surgeon Han Jo Kim, MD provides commentary on the question of which condition should be corrected first in patients with both hip and spine issues.

According to Dr. Kim, there is currently not a lot of literature on this topic, but there has been an increased focus on this dilemma due to hip dislocations occurring more frequently for those who have had lumbar spine fusions.

Dr. Kim writes that "my considerations that help me decipher which approach should be done first depend on a number of factors: Is the spine condition more debilitating? Is there neurologic compromise?....If the answer to any of the above questions is yes, then I would consider performing the spine operation prior to the hip procedure."

Dr. Kim added that the answer is not always black and white, and exceptions can be made on a case-by-case basis.

Read the full article at healio.com [registration required]. This article also appeared in the August 2017 print issue.

 

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