{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T15:16:43Z","timestamp":1648999003438},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Occasionally, hip pathologies may present alone or combined with lumbar spine pathology, especially lumbar stenosis. Although the history and clinical examination may help differentiate between the two, hip X-rays alone without accompanying magnetic resonance imaging (MRI) studies may prove unreliable.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Descriptions: <\/jats:title>\n<jats:p>Case 1 \u2013 A 72-year-old male presented with the sudden onset of severe back and left posterior thigh pain. Straight leg raising test was positive at 70\u00b0 (right) and 60\u00b0 (left), and he had left lower extremity numbness and weakness. The lumbar MRI showed L5-S1 spinal stenosis. Although X-rays of both hips were negative, the MRI showed bilateral femoral neck fractures. He underwent screw fixation of the hip fractures and later underwent endoscopic decompression of the spinal stenosis. Case 2 \u2013 A 35-year-old male presented with low backache and right hip pain of 1 month\u2019s duration. The neurological examination was normal, except for positive straight leg raising bilaterally at 60\u00b0. The spine MRI was normal. However, despite negative X-ray of both hips, the hip MRI revealed avascular necrosis (AVN) of both femoral heads requiring subsequent orthopedic management.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Hip pathology may mimic lumbar spinal stenosis. In the two cases presented, plain X-rays failed to document hip fractures (case 1) and AVN (case 2), respectively, both of which were later diagnosed on MRI studies.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_173_2019","type":"journal-article","created":{"date-parts":[[2019,8,25]],"date-time":"2019-08-25T11:32:23Z","timestamp":1566732743000},"page":"165","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["X-rays and scans can fail to differentiate hip pathology from lumbar spinal stenosis: Two case reports"],"prefix":"10.25259","volume":"10","author":[{"given":"Ravindra","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Spine, Private Practice, Jaypee Hospital, Noida, Uttar Pradesh,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyeun-Sung","family":"Kim","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery Nanoori Hospital, Seoul, Republic of Korea,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[{"name":"Department of Ortho-Spine Surgery, Sir Ganga Ram Hospital, New Delhi, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama Nezar","family":"Kashlan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Michigen, Michigen, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung","family":"Woon Oh","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery Nanoori Hospital, Seoul, Republic of Korea,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung Hoon","family":"Noh","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery Nanoori Hospital, Seoul, Republic of Korea,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soeng Cheol","family":"Moon","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedics, Nanoori Hospital, Seoul, Republic of Korea,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang Hwan","family":"Park","sequence":"additional","affiliation":[{"name":"Medical School, Medical School University of Debrecen, Debrecen, Hungary."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Il Tae","family":"Jang","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery Nanoori Hospital, Seoul, Republic of Korea,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong","family":"Hoon Oh","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery Nanoori Hospital, Seoul, Republic of Korea,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,8,23]]},"reference":[{"key":"10.25259\/SNI_173_2019\/ref-1","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4471-5451-8_60","article-title":"Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation","volume-title":"Classic Papers in Orthopaedics","author":"Baker","year":"2014"},{"key":"10.25259\/SNI_173_2019\/ref-2","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.csm.2005.12.001","article-title":"Clinical examination of the athletic hip","volume":"25","author":"Braly","year":"2006","journal-title":"Clin Sports Med"},{"key":"10.25259\/SNI_173_2019\/ref-3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1302\/0301-620X.67B1.3155745","article-title":"Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment","volume":"67","author":"Ficat","year":"1985","journal-title":"J Bone Joint Surg Br"},{"key":"10.25259\/SNI_173_2019\/ref-4","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/S0020-1383(96)00198-2","article-title":"Delayed diagnosis of femoral neck fractures","volume":"28","author":"Pathak","year":"1997","journal-title":"Injury"},{"key":"10.25259\/SNI_173_2019\/ref-5","doi-asserted-by":"crossref","first-page":"130","DOI":"10.4103\/0019-5413.36794","article-title":"Management of fracture neck of femur","volume":"39","author":"Sandhu","year":"2005","journal-title":"Indian J Orthop"},{"key":"10.25259\/SNI_173_2019\/ref-6","doi-asserted-by":"crossref","first-page":"E27","DOI":"10.1097\/BRS.0b013e31818b8882","article-title":"How often is low back pain not coming from the back?","volume":"34","author":"Sembrano","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_173_2019\/ref-7","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1302\/0301-620X.77B1.7822393","article-title":"A quantitative system for staging avascular necrosis","volume":"77","author":"Steinberg","year":"1995","journal-title":"J Bone Joint Surg Br"},{"key":"10.25259\/SNI_173_2019\/ref-8","first-page":"624","volume-title":"Benzel\u2019s Spine Surgery","author":"Steinmet","year":"2018","edition":"4th ed"},{"key":"10.25259\/SNI_173_2019\/ref-9","doi-asserted-by":"crossref","first-page":"170","DOI":"10.3122\/jabfm.16.2.170","article-title":"Femoral neck stress injury with negative bone scan","volume":"16","author":"Wen","year":"2003","journal-title":"J Am Board Fam Pract"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/x-rays-and-scans-can-fail-to-differentiate-hip-pathology-from-lumbar-spinal-stenosis-two-case-reports\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/x-rays-and-scans-can-fail-to-differentiate-hip-pathology-from-lumbar-spinal-stenosis-two-case-reports\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,25]],"date-time":"2019-08-25T11:32:24Z","timestamp":1566732744000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/x-rays-and-scans-can-fail-to-differentiate-hip-pathology-from-lumbar-spinal-stenosis-two-case-reports\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,23]]},"references-count":9,"alternative-id":["10.25259\/SNI_173_2019"],"URL":"https:\/\/doi.org\/10.25259\/sni_173_2019","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,23]]},"article-number":"165"}}