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Design: non-systematic literature review. The aim of the study was to analyze the current state of the problem of treating patients with hip-spine syndrome. Diagnosis and treatment of a combination of degenerative pathologies in the hip joints and spine are complicated due to the significant coincidence of the symptoms of the diseases. Loosening of hip endoprosthesis components remains the second most common cause of revision surgery after infection. Increasing awareness of the mobility of the spinopelvic complex, as well as taking into account the sagittal alignment of the trunk, are important for improving the quality of surgical treatment of patients with hip-spine syndrome. Currently, there is no established tactical surgical algorithm for treating patients with hip-spine syndrome: there is no consensus on which pathological condition should be treated first, and algorithms for the sequence of surgical treatment of the spinopelvic complex require supplementation and consolidation by prospective studies.
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Kotelnikov et al. (2025) studied this question.
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