Surgical correction of Hip-spine syndrome in a child with mucopolysaccharidosis type IVb: 10 years follow-up

Relevance. According to the results of surgical treatment, the sagittal imbalance of the spine was eliminated, the pain syndrome was stopped, and the patient’s independent movement was restored without the use of auxiliary devices (walkers). Results. In patients with combined pathology of the spine and hip joints, violations of the X-ray anatomical indices of the trunk balance lead to the development of severe pain syndrome, reduces exercise tolerance, and the quality of life. Correction of sagittal imbalance of the trunk becomes particularly relevant in this group of patients. Conclusion. If it is impossible to perform hip replacement to correct sagittal imbalance of the trunk in patients with combined pathology of the hip joint and spine corrective osteotomy of the lumbar spine is a non-standard treatment method, is potent of improving prognosis and quality of life in patients.