Does Spinal Deformity Affect Hip Replacement Surgery Option & Its Types

By Dr. Mihir Bapat in Institute for Bone, Joint Replacement, Orthopaedics Spine and Sports Medicine , Spine Surgery Unit

Apr 24 , 2023 | 3 min read

Recent reports given by the leading joint replacement surgeons in Mumbai have shown that hip replacement is not a feasible option for patients suffering from chronic spinal deformities. The same report has been backed up by the doctors hailing from the best spine hospital in MumbaiThe prevalence of spinal deformity can affect the success rate of the procedure and may even increase the risks of post-surgical dislocation. In some cases, the patient may even require revision surgery to make up for the complications. In order to understand the relation between the two, it is important to talk about these in detail.

Spinal deformity

Spinal deformity refers to the abnormal alignment of the vertebral column which may be congenital or the result of an injury, previous surgery, degenerative bone diseases like osteoporosis, and age-related wear and tear. Spinal deformity is majorly categorised into two types i.e. Scoliosis and Kyphosis. Scoliosis is a coronal plane deformity which can affect people of all age groups, be it, children or adults. It is marked by an abnormal, side to side curve on the backbone. Scoliosis is further divided into four categories i.e. Infantile scoliosis, juvenile scoliosis, adolescent idiopathic scoliosis and adult degenerative scoliosis. Kyphosis, on the other hand, refers to the forward rounding of the back. Commonly known as a hunchback, the problem is more likely to affect women and is usually a product of osteoporosis. As per the leading spine surgery specialist, both the problems can be treated with the help of surgery and proper therapy. You can find some of the best spine surgeons in Mumbai who have successfully helped numerous patients to get rid of their spinal deformity.

Also Read About Spine Pain

Hip replacement surgery

Hip replacement is a surgical procedure that aims at replacing a damaged or diseased hip joint with an artificially created graft made of cement, plastic or metal. Hip replacement surgery is usually the last resort of treatment, recommended only when other options fail to give the desired results. If left untreated, the problem can lead to chronic hip pain which can severely affect the quality of your life and prevent you from performing various day to day activities. You can opt for the procedure at the best joint replacement surgery hospital in Mumbai.

Hip-spine syndrome

Osteoarthritis is a degenerative condition marked by the wearing down of the cartilage which is present at the end of the bones. The problem can affect our hip joint giving rise to the need for a hip replacement surgery. Osteoarthritis is also one of the major causes of spinal deformity in adults. The close relation between the two has led to the introduction of hip spinal syndrome by  Offierski and MacNab in 1983. They further categorized the syndrome into four categories.

  • Simple hip-spine syndrome - simple pathological changes in the hip and spine with a known source.
  • Secondary hip-spine syndrome - spine syndrome that has been aggravated by the hip deformity.
  • Complex hip-spine syndrome - the condition is symptomatic and the source of pain is not clear.
  • Misdiagnosis syndrome - the source of pain is not known.


People suffering from the hip-spine syndrome are likely to experience difficulty while walking or running and have to depend upon others for their day to day activities. The treatment of such patients can be quite challenging and the best doctors and surgeons will have to resort to more specialized procedures based on the detailed medical history of the patients, physical examinations, radiologic assessment along with the proper understanding of the biomechanics of the hip and the spine and how these are related to each other.

The spinal deformity can interact with your pelvis and increase the number of risks and complications associated with hip replacement. Patients suffering from scoliosis are at a higher risk of developing femoroacetabular impingement owing to changes in the pelvic rotation, lateral tilt and position of the hip socket. The inability of patients suffering from osteoarthritis to stand straight may also be responsible for their spinal deformity. If you have already undergone hip replacement surgery and are now planning to opt for lumbar spinal fusion or spinal realignment, it is important to note that the later can alter the position of the graft placed during the former, thereby increasing the risks of prosthetic dislocation.

Reviewed By

Dr. Mihir Bapat (Director & Sr Consultant - Nanavati Max Institute of Spine Surgery)

Dr. Mihir Bapat is Director & Sr Consultant at Nanavati Max Institute of Spine Surgery with experience spanning over 25 years. He has performed over 8000 successful spine surgeries and had been awarded numerous accolades for his contribution in the field. He specialises in Column traumatology, Percutaneous Vertebroplasty for Compression Fracture and Complex Spinal Deformity Correction.

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