{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:49:28Z","timestamp":1793378968962,"version":"4.5.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,7]]},"DOI":"10.7759\/cureus.57765","type":"journal-article","created":{"date-parts":[[2024,4,7]],"date-time":"2024-04-07T11:14:35Z","timestamp":1712488475000},"source":"Crossref","is-referenced-by-count":5,"title":["Hip-Spine and Knee-Spine Syndrome: Is Low Back Pain Improved After Total Hip and Knee Arthroplasty?"],"prefix":"10.7759","author":[{"given":"Vasileios A","family":"Kechagias","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodoros B","family":"Grivas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198304000-00014","article-title":"Hip-spine syndrome","volume":"8","author":"Offierski CM","year":"1983","unstructured":"Offierski CM, MacNab I. Hip-spine syndrome. Spine (Phila Pa 1976). 1983, 8:316-21. 10.1097\/00007632-198304000-00014","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199610)9:5<376::aid-anr1790090506>3.0.co;2-1","article-title":"Back pain in osteoarthritis of the knee","volume":"9","author":"Wolfe F","year":"1996","unstructured":"Wolfe F, Hawley DJ, Peloso PM, Wilson K, Anderson J. Back pain in osteoarthritis of the knee. Arthritis Care Res. 1996, 9:376-83. 10.1002\/1529-0131(199610)9:5&lt;376::aid-anr1790090506&gt;3.0.co;2-1","journal-title":"Arthritis Care Res"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s007760200092","article-title":"Knee-spine syndrome: correlation between sacral inclination and patellofemoral joint pain","volume":"7","author":"Tsuji T","year":"2002","unstructured":"Tsuji T, Matsuyama Y, Goto M, Yimin Y, Sato K, Hasegawa Y, Ishiguro N. Knee-spine syndrome: correlation between sacral inclination and patellofemoral joint pain. J Orthop Sci. 2002, 7:519-23. 10.1007\/s007760200092","journal-title":"J Orthop Sci"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.20861","article-title":"Investigation of the relationship between hip and knee osteoarthritis and disordered spinal and pelvic morphology","volume":"14","author":"Kechagias VA","year":"2022","unstructured":"Kechagias VA, Grivas TB, Papagelopoulos PJ, Kontogeorgakos VA, Vlasis K. Investigation of the relationship between hip and knee osteoarthritis and disordered spinal and pelvic morphology. Cureus. 2022, 14:0861. 10.7759\/cureus.20861","journal-title":"Cureus"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.03.038","article-title":"Does low back pain improve following total hip arthroplasty?","volume":"37","author":"Vigdorchik JM","year":"2022","unstructured":"Vigdorchik JM, Shafi KA, Kolin DA, Buckland AJ, Carroll KM, Jerabek SA. Does low back pain improve following total hip arthroplasty?. J Arthroplasty. 2022, 37:937-40. 10.1016\/j.arth.2022.03.038","journal-title":"J Arthroplasty"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4444-1","article-title":"The effect of total hip arthroplasty on sagittal spinal-pelvic-leg alignment and low back pain in patients with severe hip osteoarthritis","volume":"25","author":"Weng W","year":"2016","unstructured":"Weng W, Wu H, Wu M, Zhu Y, Qiu Y, Wang W. The effect of total hip arthroplasty on sagittal spinal-pelvic-leg alignment and low back pain in patients with severe hip osteoarthritis. Eur Spine J. 2016, 25:3608-14. 10.1007\/s00586-016-4444-1","journal-title":"Eur Spine J"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1236-5","article-title":"Back pain and total hip arthroplasty: a prospective natural history study","volume":"468","author":"Parvizi J","year":"2010","unstructured":"Parvizi J, Pour AE, Hillibrand A, Goldberg G, Sharkey PF, Rothman RH. Back pain and total hip arthroplasty: a prospective natural history study. Clin Orthop Relat Res. 2010, 468:1325-30. 10.1007\/s11999-010-1236-5","journal-title":"Clin Orthop Relat Res"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.07.028","article-title":"Factors associated with early improvement in low back pain after total hip arthroplasty: a multi-center prospective cohort analyses","volume":"31","author":"Chimenti PC","year":"2016","unstructured":"Chimenti PC, Drinkwater CJ, Li W, Lemay CA, Franklin PD, O'Keefe RJ. Factors associated with early improvement in low back pain after total hip arthroplasty: a multi-center prospective cohort analyses. J Arthroplasty. 2016, 31:176-9. 10.1016\/j.arth.2015.07.028","journal-title":"J Arthroplasty"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5033-7","article-title":"Spinopelvic parameter changes and low back pain improvement due to femoral neck anteversion in patients with severe unilateral primary hip osteoarthritis undergoing total hip replacement","volume":"27","author":"Piazzolla A","year":"2018","unstructured":"Piazzolla A, Solarino G, Bizzoca D, et al.. Spinopelvic parameter changes and low back pain improvement due to femoral neck anteversion in patients with severe unilateral primary hip osteoarthritis undergoing total hip replacement. Eur Spine J. 2018, 27:125-34. 10.1007\/s00586-017-5033-7","journal-title":"Eur Spine J"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-012-0204-1","article-title":"Pain distribution and response to total hip arthroplasty: a prospective observational study in 113 patients with end-stage hip disease","volume":"17","author":"Hsieh PH","year":"2012","unstructured":"Hsieh PH, Chang Y, Chen DW, Lee MS, Shih HN, Ueng SW. Pain distribution and response to total hip arthroplasty: a prospective observational study in 113 patients with end-stage hip disease. J Orthop Sci. 2012, 17:213-8. 10.1007\/s00776-012-0204-1","journal-title":"J Orthop Sci"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318145a3c5","article-title":"Hip-spine syndrome: the effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip","volume":"32","author":"Ben-Galim P","year":"2007","unstructured":"Ben-Galim P, Ben-Galim T, Rand N, Haim A, Hipp J, Dekel S, Floman Y. Hip-spine syndrome: the effect of total hip replacement surgery on low back pain in severe osteoarthritis of the hip. Spine (Phila Pa 1976). 2007, 32:2099-102. 10.1097\/BRS.0b013e318145a3c5","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.10.001","article-title":"Total joint arthroplasty and preoperative low back pain","volume":"29","author":"Staibano P","year":"2014","unstructured":"Staibano P, Winemaker M, Petruccelli D, de Beer J. Total joint arthroplasty and preoperative low back pain. J Arthroplasty. 2014, 29:867-71. 10.1016\/j.arth.2013.10.001","journal-title":"J Arthroplasty"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2023.06.021","article-title":"How do spinal parameters change in patients who have improvement of low back pain after total hip arthroplasty? A propensity score-matched cohort study","volume":"39","author":"Okuzu Y","year":"2024","unstructured":"Okuzu Y, Goto K, Kuroda Y, Kawai T, Matsuda S. How do spinal parameters change in patients who have improvement of low back pain after total hip arthroplasty? A propensity score-matched cohort study. J Arthroplasty. 2024, 39:132-7. 10.1016\/j.arth.2023.06.021","journal-title":"J Arthroplasty"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57111219","article-title":"Effect of spinal alignment changes on lower back pain in patients treated with total hip arthroplasty for hip osteoarthritis","volume":"57","author":"Saiki F","year":"2021","unstructured":"Saiki F, Tanaka T, Tachibana N, et al.. Effect of spinal alignment changes on lower back pain in patients treated with total hip arthroplasty for hip osteoarthritis. Medicina (Kaunas). 2021, 57:1219. 10.3390\/medicina57111219","journal-title":"Medicina (Kaunas)"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/os.13135","article-title":"Relieved low back pain after total hip arthroplasty in patients with both hip osteoarthritis and lumbar degenerative disease","volume":"13","author":"Ran TF","year":"2021","unstructured":"Ran TF, Ke S, Li J, et al.. Relieved low back pain after total hip arthroplasty in patients with both hip osteoarthritis and lumbar degenerative disease. Orthop Surg. 2021, 13:1882-9. 10.1111\/os.13135","journal-title":"Orthop Surg"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2018.12.2.325","article-title":"Spinopelvic alignment and low back pain after total hip replacement arthroplasty in patients with severe hip osteoarthritis","volume":"12","author":"Eguchi Y","year":"2018","unstructured":"Eguchi Y, Iida S, Suzuki C, Shinada Y, Shoji T, Takahashi K, Ohtori S. Spinopelvic alignment and low back pain after total hip replacement arthroplasty in patients with severe hip osteoarthritis. Asian Spine J. 2018, 12:325-34. 10.4184\/asj.2018.12.2.325","journal-title":"Asian Spine J"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-023-07956-2","article-title":"Clinical significance of relative pelvic version measurement as a predictor of low back pain after total hip arthroplasty","volume":"32","author":"Okamoto Y","year":"2023","unstructured":"Okamoto Y, Wakama H, Matsuyama J, Nakamura K, Saika T, Otsuki S, Neo M. Clinical significance of relative pelvic version measurement as a predictor of low back pain after total hip arthroplasty. Eur Spine J. 2023, 32:4452-63. 10.1007\/s00586-023-07956-2","journal-title":"Eur Spine J"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-140535","article-title":"Factors related to low back pain in patients with hip osteoarthritis","volume":"28","author":"Tanaka S","year":"2015","unstructured":"Tanaka S, Matsumoto S, Fujii K, Tamari K, Mitani S, Tsubahara A. Factors related to low back pain in patients with hip osteoarthritis. J Back Musculoskelet Rehabil. 2015, 28:409-14. 10.3233\/BMR-140535","journal-title":"J Back Musculoskelet Rehabil"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.02.033","article-title":"The hip-spine syndrome: how does back pain impact the indications and outcomes of hip arthroscopy?","volume":"30","author":"Redmond JM","year":"2014","unstructured":"Redmond JM, Gupta A, Hammarstedt JE, Stake CE, Domb BG. The hip-spine syndrome: how does back pain impact the indications and outcomes of hip arthroscopy?. Arthroscopy. 2014, 30:872-81. 10.1016\/j.arthro.2014.02.033","journal-title":"Arthroscopy"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4696-9","article-title":"Effects of total hip arthroplasty on spinal sagittal alignment and static balance: a prospective study on 28 patients","volume":"25","author":"Eyvazov K","year":"2016","unstructured":"Eyvazov K, Eyvazov B, Basar S, Nasto LA, Kanatli U. Effects of total hip arthroplasty on spinal sagittal alignment and static balance: a prospective study on 28 patients. Eur Spine J. 2016, 25:3615-21. 10.1007\/s00586-016-4696-9","journal-title":"Eur Spine J"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2019.0359","article-title":"Spinopelvic alignment and low back pain before and after total knee arthroplasty","volume":"15","author":"Kitagawa A","year":"2021","unstructured":"Kitagawa A, Yamamoto J, Toda M, Hashimoto Y. Spinopelvic alignment and low back pain before and after total knee arthroplasty. Asian Spine J. 2021, 15:9-16. 10.31616\/asj.2019.0359","journal-title":"Asian Spine J"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2576-8","article-title":"Concomitant low back pain impairs outcomes after primary total knee arthroplasty in patients over 65\u00a0years: a prospective, matched cohort study","volume":"136","author":"Collados-Maestre I","year":"2016","unstructured":"Collados-Maestre I, Lizaur-Utrilla A, Martinez-Mendez D, Marco-Gomez L, Lopez-Prats FA. Concomitant low back pain impairs outcomes after primary total knee arthroplasty in patients over 65\u00a0years: a prospective, matched cohort study. Arch Orthop Trauma Surg. 2016, 136:1767-71. 10.1007\/s00402-016-2576-8","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2023.03.072","article-title":"How back pain affects patient satisfaction after primary total knee arthroplasty","volume":"38","author":"Ayers DC","year":"2023","unstructured":"Ayers DC, Zheng H, Yang W, Yousef M. How back pain affects patient satisfaction after primary total knee arthroplasty. J Arthroplasty. 2023, 38:103-8. 10.1016\/j.arth.2023.03.072","journal-title":"J Arthroplasty"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20324","article-title":"Low back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the osteoarthritis initiative","volume":"62","author":"Suri P","year":"2010","unstructured":"Suri P, Morgenroth DC, Kwoh CK, Bean JF, Kalichman L, Hunter DJ. Low back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the osteoarthritis initiative. Arthritis Care Res (Hoboken). 2010, 62:1715-23. 10.1002\/acr.20324","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1097\/NOR.0b013e31827425f4","article-title":"A retrospective study of the relationship between back pain and unilateral knee osteoarthritis in candidates for total knee arthroplasty","volume":"31","author":"Burnett DR","year":"2012","unstructured":"Burnett DR, Campbell-Kyureghyan NH, Topp RV, Quesada PM, Cerrito PB. A retrospective study of the relationship between back pain and unilateral knee osteoarthritis in candidates for total knee arthroplasty. Orthop Nurs. 2012, 31:336-43. 10.1097\/NOR.0b013e31827425f4","journal-title":"Orthop Nurs"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2018.06.012","article-title":"Interaction between low back pain and knee pain contributes to disability level in individuals with knee osteoarthritis: a cross-sectional study","volume":"26","author":"Iijima H","year":"2018","unstructured":"Iijima H, Suzuki Y, Aoyama T, Takahashi M. Interaction between low back pain and knee pain contributes to disability level in individuals with knee osteoarthritis: a cross-sectional study. Osteoarthritis Cartilage. 2018, 26:1319-25. 10.1016\/j.joca.2018.06.012","journal-title":"Osteoarthritis Cartilage"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620x.85b1.13389","article-title":"The knee-spine syndrome. Association between lumbar lordosis and extension of the knee","volume":"85","author":"Murata Y","year":"2003","unstructured":"Murata Y, Takahashi K, Yamagata M, Hanaoka E, Moriya H. The knee-spine syndrome. Association between lumbar lordosis and extension of the knee. J Bone Joint Surg Br. 2003, 85:95-9. 10.1302\/0301-620x.85b1.13389","journal-title":"J Bone Joint Surg Br"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.05.008","article-title":"A gait analysis of simulated knee flexion contracture to elucidate knee-spine syndrome","volume":"28","author":"Harato K","year":"2008","unstructured":"Harato K, Nagura T, Matsumoto H, Otani T, Toyama Y, Suda Y. A gait analysis of simulated knee flexion contracture to elucidate knee-spine syndrome. Gait Posture. 2008, 28:687-92. 10.1016\/j.gaitpost.2008.05.008","journal-title":"Gait Posture"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2010.05.008","article-title":"The association between low back pain and osteoarthritis of the hip and knee: a population-based cohort study","volume":"33","author":"Stupar M","year":"2010","unstructured":"Stupar M, C\u00f4t\u00e9 P, French MR, Hawker GA. The association between low back pain and osteoarthritis of the hip and knee: a population-based cohort study. J Manipulative Physiol Ther. 2010, 33:349-54. 10.1016\/j.jmpt.2010.05.008","journal-title":"J Manipulative Physiol Ther"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/242006-hip-spine-and-knee-spine-syndrome-is-low-back-pain-improved-after-total-hip-and-knee-arthroplasty","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,7]],"date-time":"2024-04-07T11:14:39Z","timestamp":1712488479000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/242006-hip-spine-and-knee-spine-syndrome-is-low-back-pain-improved-after-total-hip-and-knee-arthroplasty"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,7]]},"references-count":29,"URL":"https:\/\/doi.org\/10.7759\/cureus.57765","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2024,4,7]]}}}