Premium Essay

The Oswestry Disability Index

In: Science

Submitted By jylok89
Words 12598
Pages 51
SPINE Volume 25, Number 22, pp 2940 –2953 ©2000, Lippincott Williams & Wilkins, Inc.

The Oswestry Disability Index
Jeremy C. T. Fairbank, MD, FRCS,* and Paul B. Pynsent, PhD† tried. The questionnaire had been published in 198038 and widely disseminated from the 1981 meeting of the International Society for the Study of the Lumbar Spine (ISSLS) in Paris. The objects of this article are: To present the various versions of the ODI instrument for comparison ● To review the various efforts that have been made to validate this questionnaire ● To compare the scores obtained in studies of different patient population both before and after treatment ● To review the methodology of outcome measurement ● To consider what is actually measured by this and similar instruments


Study Design. The Oswestry Disability Index (ODI) has become one of the principal condition-specific outcome measures used in the management of spinal disorders. This review is based on publications using the ODI identified from the authors’ personal databases, the Science Citation Index, and hand searches of Spine and current textbooks of spinal disorders. Objectives. To review the versions of this instrument, document methods by which it has been validated, collate data from scores found in normal and back pain populations, provide curves for power calculations in studies using the ODI, and maintain the ODI as a gold standard outcome measure. Summary of Background Data. It has now been 20 years since its original publication. More than 200 citations exist in the Science Citation Index. The authors have a large correspondence file relating to the ODI, that is cited in most of the large textbooks related to spinal disorders. Methods. All the published versions of the questionnaire were identified. A systematic review of this literature was made. The various reports of validation were collated and

Similar Documents

Premium Essay

Unipedicular vs Bipedicular

...vertebroplasty. Zhang L et al. BMC Musculoskeletal Disorders, 2015 Take Home Pearl: Unipedicular and bipedicular PVP are safe and effective treatments for OVCF but when compared to bipedicular PVP, unipedicular PVP entails a shorter surgical time and lower X-ray irradiation. Background: Osteoporosis is one of the most common systemic disorders that is characterized by alter bone micro- architecture, low bone mass and increased risk of fragility fracture. The prevalence of osteoporosis is expected to increase by 25 % in 2025. The fragility fractures associated with osteoporosis are mostly the vertebral compression fractures (OVCFs). It affects 25% of the postmenopausal women. It also causes substantial pain and deformity resulting in disability and poor quality of life. The OVCF usually includes treatments such as analgesics, external braces and physical therapies. Many techniques of the vertebral body augmentation is now available in order to treat refractory cases. The percutaneous vertebroplasty (PVP) has gained much attention in past few decades for treating OVCF. The PVP provides a rapid pain relief to the patients that last for longer period especially in large case series and nonrandomized controlled trials. PVP are relatively safe and effective but are associated with complications that includes cement leakage, soft tissue damage, pedicle fracture, nerve injury and spinal epidural hematoma. Most leakages are asymptomatic and have severe complications of nerve root or...

Words: 934 - Pages: 4