Which Domains of the ODI Best Predict Change in Physical Function in Patients After Surgery for Degenerative Lumbar Spondylolisthesis?

Murphy, Hamadi; Warnick, Eugene; McEntee, Richard; Nicholson, Kristen; Hollern, Douglas A.; Stawicki, Christie; Tarazona, Daniel; Schroeder, Gregory D.; Woods, Barrett I.; Kurd, Mark F.; Rihn, Jeffrey A.; Anderson, Greg; Kepler, Christopher K.; Hilibrand, Alan S.; Vaccaro, Alexander R.; Radcliff, Kris E.

doi:10.1097/brs.0000000000002459

Cited by 12 publications

(9 citation statements)

References 34 publications

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“…Conflicting evidence exists as to whether these instruments correlate with one another in specific spinal pathologies. [5][6][7] Clinically, the goal is to measure patient outcomes in the least burdensome way. Many spine centers have historically collected SF-36 for many years, and the question of whether it is ''safe'' to switch to the less burdensome SF-12 for long-term follow up has not been answered.…”

Section: Introductionmentioning

confidence: 99%

Rational Selection of Patient-Reported Outcomes Measures in Lumbar Spine Surgery Patients

et al. 2020

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Background: The Short Form-12 (SF-12) was developed as a shorter version of the SF-36, yet there has been limited validation of its reliability at measuring postoperative changes. The purpose of this study was to determine if the SF-12 could safely substitute for the SF-36 in measuring postoperative change in lumbar spine surgery patients and if the condition specific (Oswestry Disability Index [ODI]) or pain (visual analog scale [VAS]) instruments, provided additional utility.Methods: A total of 972 patients from a single center who underwent lumbar spine surgery for a predominant symptom of radiating leg pain with (n ¼ 237) or without (n ¼ 735) fusion and prospectively completed both SF-36 and ODI instruments before and after surgery were included. The SF-12 score was calculated from the appropriate subset of SF-36 responses. The absolute sensitivity and the intraclass correlation coefficient were calculated. Reliability of each instrument to measure preoperative to postoperative change was calculated as the standardized response mean.Results: The SF-12 and SF-36 demonstrated a strong correlation with each other ([0.97, P , .001] and [0.93, P , .001], respectively) preoperatively and postoperatively. The SF-12 and SF-36 scores were moderately to strongly inversely correlated with the ODI. The ODI showed greater reliability at measuring change than the SF-12 for both fusion (0.94 versus 0.72) and nonfusion (0.81 versus 0.33) lumbar surgery patients.Conclusions: The SF-12 was as effective as the SF-36 to measure general health status in lumbar spine surgery patients, and both were moderate to strong predictors of ODI preoperatively and postoperatively, but lack the reliability to detect change seen with the ODI or VAS after surgical intervention.Level of Evidence: 3. Clinical Relevance: These data suggest that the SF-12 is a valid substitute for the SF-36 to measure postoperative outcomes changes, but that the ODI should continue to be used to measure condition specific changes in function.

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Section: Introductionmentioning

confidence: 99%

Rational Selection of Patient-Reported Outcomes Measures in Lumbar Spine Surgery Patients

et al. 2020

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“…For the first time, Farfan H. et al revealed a significant correlation between tropism of FJs and the formation of IVD hernias in the lumbosacral spine. 24 Also, the authors point out that the hernias of the lumbar IVD appear on the side of FJs with the smallest angle, since with this orientation of FJs, it is not capable of reducing torsion loads affecting on the fibrous ring during movement. 16,25 Clinical studies are currently underway to investigate the relationship between tropism and the orientation of FJs with the onset of degenerative spondylolisthesis.…”

Section: Discussionmentioning

confidence: 98%

“…Thus, many studies have confirmed the impact of angulation and tropism of FJs on the biomechanics of the spinal column. [23][24][25] However, no correlation has been made with the remote clinical outcomes of these neuroimaging parameters.…”

Section: Discussionmentioning

confidence: 99%

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Relationship Between Parameters of the Lumbar Facet Joints in a Long-Term Postoperative Outcome

et al. 2018

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Objective: To analyze the impact of the relationship between tropism and angulation of the lower lumbar facet joints on a remote clinical outcome after dynamic and rigid surgical interventions. Methods: Patients with degenerative diseases of the lower lumbar spine were subdivided into three groups, according to the method of surgical treatment: 1) (n=48) the use of an artificial prosthesis intervertebral disc (IVD); 2) (n=42) the use of interbody fusion combined with transpedicular and transfacet stabilization; 3) (n=51) the use of interbody fusion and bilateral transpedicular stabilization. Analysis was performed of the remote clinical parameters and neuroimaging characteristics before the operation was performed. Results: When analyzing clinical and instrumental parameters, a significant correlation was found between the long-term outcomes of surgical treatment on the VAS and Oswestry scales and the neuroimaging data on angulation and tropism of the facet joints (FJ). Conclusions: The data obtained testify to the importance of preoperative diagnosis of tropism and angulation of the lower lumbar facet joint, which enables differentiated surgical tactics to be selected, and remote clinical outcomes to be optimized. In the presence of neuroimaging parameters of Facet Joint angulation of less than 600, regardless of the presence of tropism, it is possible to perform total arthroplasty of IVD. When neuroimaging parameters of Facet Joint angulation of more than 600 are detected, rigid stabilization of the operated segment is recommended, while in the absence of tropism of Facet Joints, a contralateral transfacetal fixation is possible; in the presence of tropism, it is expedient to perform bilateral transpedicular stabilization. Level of Evidence II; Prognostic Studies—Investigating the Effect of a Patient Characteristic on the Outcome of Disease.

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“…Preoperative assessment of the patients' psychological characteristics, by filling out questionnaires and scales, allows us to identify factors that have predicative effect on the result of surgical treatment. The effectiveness of surgical treatment is estimated by a change in the Oswestry index, 23,24 reduction of pain syndrome as measured by the VAS scale, and changes in the parameters of other psychological scales (Catastrophization scale, Pain Coping Index, etc.). [25][26][27] However, only the Oswestry index has recommendations for interpreting changes in the index, which is necessary to evaluate the effectiveness of treatment.…”

Section: Contribution Of the Authorsmentioning

confidence: 99%

The Importance of Psychological Testing in Predicting the Effectiveness of Lumbar Spine Surgery

2018

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Objective: The result of treatment of patients with degenerative disc diseases is partly determined by the psychological characteristics of the patients. The aim of this study was to examine the correlations between the psychological scales scores in patients with degenerative lumbar disc diseases and the effectiveness of surgical treatment. Methods: The efficacy of the operation and patients’ satisfaction were compared with the preoperative psychological characteristics, according to the questionnaires and scales (BBQ Symonds, Zung Scale, FABQ, PCI, BBQ Catastrophization). Results: In patients with neurogenic intermittent claudication syndrome without significant pain, the operative treatment depended significantly on the value of the BBQ Symonds scale (p = 0.016). In patients with severe radicular pain in the lower extremity, the effectiveness of the operation depended significantly on the value of the subscale “protection” of the PCI questionnaire (p = 0.04), the ODI index filled out before the operation (p = 0.0). In patients with lumbar syndrome, the effectiveness of operation depended significantly on the value of the PCI questionnaire as a whole (p = 0.042) and its subscores “rest” (p = 0.028), the index of the Oswestry filled out before the operation (p = 0.035). Conclusion: The effectiveness of the operation of degenerative lumbar disc diseases is associated with the results of preoperative psychological testing. It has been established that the BBQ Symonds scale, PCI protection and rest subscales, and the ODI questionnaire are the most significant; these psychological scales have the power to predict the effectiveness of surgical treatment. Level of Evidence II; Therapeutic Study - Investigating the Results of Treatment.

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Which Domains of the ODI Best Predict Change in Physical Function in Patients After Surgery for Degenerative Lumbar Spondylolisthesis?

Abstract: 3.

Cited by 12 publications

References 34 publications

Rational Selection of Patient-Reported Outcomes Measures in Lumbar Spine Surgery Patients

Rational Selection of Patient-Reported Outcomes Measures in Lumbar Spine Surgery Patients

Relationship Between Parameters of the Lumbar Facet Joints in a Long-Term Postoperative Outcome

The Importance of Psychological Testing in Predicting the Effectiveness of Lumbar Spine Surgery

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