ArticleCureus2025
L4 Radiculopathy Presenting as Postoperative Femoral Nerve Neuropraxia Following Total Hip Arthroplasty (THA) in the Setting of Hip-Spine Syndrome.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Hip-spine syndrome (HSS) is the symptomatic degenerative pathology of both the lumbar spine and hip that can lead to diagnostic and therapeutic challenges, as these pathologies can present with overlapping clinical symptoms. There are no definitive best practices for managing HSS, but there is some evidence that the management of hip pathologies prior to spinal pathologies results in better outcomes. This report details a unique patient who had total hip arthroplasty (THA) for osteoarthritis and experienced postoperative femoral nerve-like neuropraxia. Through prudent clinical reasoning and diagnostic evaluation, the patient's neuropraxia was determined to be of radicular origin rather than an intraoperative injury of the femoral nerve. This challenging diagnosis exemplifies the importance of recognizing concomitant pathology in the hip and spine, as well as performing appropriate diagnostic testing in a patient who underwent THA and presented with postoperative femoral nerve-like neuropraxia.
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