# Strategic Surgical Intervention in a Rare Presentation of Hip-Spine Syndrome With Lumbosacral Malunion: A Case Report

## TL;DR

A 54-year-old man with hip and spine issues was successfully treated with two-stage surgery, showing the importance of considering hip-spine syndrome in similar cases.

## Contribution

Demonstrates the efficacy of two-stage corrective surgery with pedicle subtraction osteotomy for hip-spine syndrome.

## Key findings

- The patient's hip synovitis resolved after two-stage corrective surgery.
- Symptoms of low back and hip pain improved significantly following the procedure.
- Hip-spine syndrome should be considered a potential complication of lumbosacral fusion surgery.

## Abstract

The hip and lumbar spine are closely related and can create similar patterns of pain and dysfunction. Furthermore, diagnosing and treating hip and spine conditions can be challenging due to the overlap of symptoms. This report describes the successful treatment of a 54-year-old male with hip-spine syndrome following multiple surgeries for spondylolytic spondylolisthesis. The patient presented with low back pain (LBP) and bilateral hip pain, with radiological findings indicating spinal deformity and hip joint synovitis. Two years after two-stage corrective surgery, including pedicle subtraction osteotomy (PSO), the hip synovitis resolved and the symptoms improved. This case emphasizes the need to consider hip-spine syndrome as a possible complication of lumbosacral spine fusion surgery and demonstrates the efficacy of two-stage corrective surgery with pedicle subtraction osteotomy in treating this condition.