THE ROLE OF DISCOGENOUS RADICULOPATHIES AND SPONDYLOLYSTHESIS IN THE STRUCTURE OF PAIN SYNDROME AFTER TOTAL HIP ARTHROPLASTY

Abstract

Resume. In the structure of complications, pain syndrome, which is not associated with instability of the components of the endoprosthesis or infection, remains a serious problem due to difficulties in diagnosis and treatment. The cause of residual pain may be the presence in the patient of discogenic radiculopathy or spon-dylolisthesis of the lumbar spine. The aim of the study. To determine the role of discogenic radiculopathies and spondylolisthesis of the lumbar spine in the structure of pain after hip arthroplasty. Materials and methods. A sample and retrospective analysis of case histories of 138 patients with hip and lumbar syndrome, who under-went hip arthroplasty in the clinic of orthopedics and traumatology of adults SI "ITO NAMS of Ukraine". All patients were examined clinically and radiologically. Additionally, all patients were examined by a neurolo-gist to determine the neurological status of patients, diagnosis. Evaluation of the effectiveness of treatment of patients with residual effects of discogenic radiculopathy and spondylolisthesis after hip arthroplasty was performed on the functional scale of Oswestry. Results. The analysis of the patient database revealed a statisti-cally significant (p≤0.05) predominance of patients with the presence of disc herniation at the level of L3-L4 and hypolordosis. The survey revealed 9 cases of discogenic radiculopathy and 6 cases of spondylolisthesis in patients with PD, which amounted to 6.5% and 4.5% of the total number of examined patients. The high effi-ciency of the developed treatment-and-prophylactic measures in patients with discogenic radiculopathy or spondylolisthesis and lumbar-lumbar syndrome has been determined. Timely appointment of complex conserva-tive and operative methods allowed to achieve satisfactory results in 100% of cases. Conclusions. Studies to determine the role of discogenic radiculopathy and spondylolisthesis of the lumbar spine in the structure of pain after hip arthroplasty will contribute to the further development of clinical, diagnostic and treatment algorithms for patients with hip and lumbar syndrome.