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Preoperative and postoperative disability evaluation in patients of lumbar degenerative spine disease

Bhavuk Kapoor, Parul Vaid, Mayank Kapoor, Sharda Kapoor, Bharat Bhushan Kapoor.




Abstract
Cited by 0 Articles

Background: Lumbar degenerative spine diseases are a major cause of chronic disability. The best measurement of treatment quality in these diseases should be the patient's opinion of the results using patient-reported outcomes (PRO) instruments. The Oswestry Disability Index (ODI) is one of the most commonly used outcome measures for spinal disabilities. We assessed the disability in the preoperative period and following surgical treatment by using the Oswestry Disability Index (ODI).

Methods: Assessment of disability was done in the pre-operative period and post-operatively at the time of discharge, at 1 month, 6 months and 1year interval by making use of the ODI in 60 patients of lumbar degenerative spine disease.

Results: Most of the patients were in the age group of 58-70 (56.6%) and there were almost equal number of males (53.3%) & females (46.7%) in the study. Most of patients in the study were having preoperative ODI in the range of 41-60 (78.3%). Preoperative ODI values (mean=58.03) improved at discharge (mean=47.4) and throughout the follow up period at 1month (mean=27.76), at 6 months (mean=13.53) and 1 year (mean=5.31).

Conclusions: All the patients showed improvement in their assessment scores for ODI throughout the follow up period and were satisfied with the results. This study confirms that ODI is an important tool to assess the disability in patients with lumbar degenerative spine disease undergoing surgical treatment. The use of this index helps to predict the outcome after surgery in the long term.

Key words: Lumbar degenerative spine disease, Disability, Oswestry Disability Index, Outcome measure






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