PMID- 36191731
OWN - NLM
STAT- MEDLINE
DCOM- 20230929
LR  - 20230929
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 6
DP  - 2023 Jun
TI  - The Outcome of Hip Arthroscopy in the Setting of Lumbar Spine Disease Is 
      Beneficial, Yet Limited: A Systematic Review of Existing Evidence.
PG  - 1568-1583
LID - S0749-8063(22)00587-4 [pii]
LID - 10.1016/j.arthro.2022.09.014 [doi]
AB  - PURPOSE: To compare hip arthroscopy outcomes in femoroacetabular impingement 
      (FAI) patients with concurrent symptomatic lumbar spine disease to the outcomes 
      of arthroscopic FAI patients without spine disease. METHODS: A systematic review 
      was performed according to PRISMA guidelines via PubMed, Cochrane, Embase, and 
      Google Scholar databases. Studies were valid for inclusion if they had an average 
      follow-up >/=12 months and compared patient-reported outcome measures (PROMs) in 
      hip arthroscopy patients with and without concurrent spinal disease. Data 
      collected included study characteristics, patient demographics, follow-up 
      intervals, surgical indications, spinal pathology, PROMs, and reoperation rates. 
      RESULTS: Twelve studies were included in this systematic review. 3,107 patients 
      who underwent hip arthroscopy were evaluated: 1,056 with coexisting lumbar spine 
      disease (spine cohort) and 2,051 control subjects without spine disease (control 
      cohort). The average follow-up period was 24 months. Across included studies, 
      there were 35 instances wherein postoperative PROM scores reported by each cohort 
      were compared. In all 35 instances, the spine cohort reported inferior 
      postoperative PROM scores with the difference being significant (P < .05) on 23 
      PROMs. Collectively, 23 cases were available contrasting the proportion of each 
      cohort to achieve the minimal clinically important difference (MCID). In 22 
      (95.65%) of these cases, the spine cohort achieved the MCID at a lower rate than 
      the control cohort. There were 14 PROMs, wherein intragroup analyses were 
      reported that compared the preoperative and postoperative score reported by the 
      spine cohort. On all 14 PROMs, the spine cohort reported significant (P < .05) 
      improvement after arthroscopic intervention. CONCLUSION: FAI patients with 
      coexisting lumbar spine pathology experience significant improvement from 
      baseline state after arthroscopic intervention. However, the postoperative 
      outcomes reported are inferior, and the improvement from arthroscopy was limited 
      when compared to surgical control subjects with FAI and normal spinal anatomy. 
      LEVEL OF EVIDENCE: Level IV: systematic review of Level II, III, and IV studies.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Feingold, Jacob D
AU  - Feingold JD
AD  - Hospital for Special Surgery, New York, New York, USA. Electronic address: 
      Jfeingold56@gmail.com.
FAU - Srikumar, Syian
AU  - Srikumar S
AD  - Hospital for Special Surgery, New York, New York, USA.
FAU - Vaswani, Ravi
AU  - Vaswani R
AD  - Hospital for Special Surgery, New York, New York, USA.
FAU - White, Alex E
AU  - White AE
AD  - Hospital for Special Surgery, New York, New York, USA.
FAU - Swartwout, Erica L
AU  - Swartwout EL
AD  - Hospital for Special Surgery, New York, New York, USA.
FAU - Ranawat, Anil S
AU  - Ranawat AS
AD  - Hospital for Special Surgery, New York, New York, USA.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20221001
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
MH  - Humans
MH  - Activities of Daily Living
MH  - *Arthroplasty, Replacement, Hip
MH  - Arthroscopy
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2022/10/04 06:00
MHDA- 2023/05/08 10:17
CRDT- 2022/10/03 19:25
PHST- 2021/12/30 00:00 [received]
PHST- 2022/09/04 00:00 [revised]
PHST- 2022/09/22 00:00 [accepted]
PHST- 2023/05/08 10:17 [medline]
PHST- 2022/10/04 06:00 [pubmed]
PHST- 2022/10/03 19:25 [entrez]
AID - S0749-8063(22)00587-4 [pii]
AID - 10.1016/j.arthro.2022.09.014 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Jun;39(6):1568-1583. doi: 10.1016/j.arthro.2022.09.014. Epub 
      2022 Oct 1.