I am a 51
year old white male who had Leff-Calve-Perthes when I was 6 years
old. Since that time, at about the age of 32 to present I have
had 3 back surgeries and 1 lumbar fusion. I just wanted to know
could all of my back problems have come from my disease.
There is no
specific relationship between Perthes and back pathology. However
there is a definite relationship between hip disease in general
and back problems. Most cases of arthritis of the hip occur for
the first time in older individuals. Many of these also have arthritis
of the spine. Any stiffness in the hip, means that the forces
that would normally be taken up by hip motion are transferred
to the back. Many patients who present with a stiff painful hip
and also back symptoms experience complete relief of their back
problems when they have had a successful hip replacement.
If your hip
has been stiff for many years or if your leg has been shorter
then it could have affected your back. If your legs have been
equal length, and your hip is mobile, then your back may be a
completely independent problem.
David S. Hungerford,