Restoration of sagittal spine-pelvis balance in a patient with combined injury of the hips and the spine (a clinical study)

The immediate result of surgical treatment of a patient with the combined degenerative-and-dystrophic involvement of the hips and spine is presented. The analysis of clinical observation evidences the compensation of the changes in sagittal spine-pelvis relations in the patient with bilateral coxarthrosis at the expense of pelvis tilting anteriorly and lumbar hyperlordosis formation. Leading clinical symptoms were the following: pain and movement limitation in the hips and lumbar spine, as well as bilateral limping. The performance of total endoprosthetics of the hips has allowed not only stopping the pain, eliminating the combined persistent contracture, increasing the range of movements in the hips, but restoring normal spine-pelvis relations, elimination the pain syndrome of lumbar spine as well.