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A consideration for the utility of the post-operative Oswestry Disability Index for measuring outcomes after sacroiliac joint fusion
Journal article   Open access   Peer reviewed

A consideration for the utility of the post-operative Oswestry Disability Index for measuring outcomes after sacroiliac joint fusion

Gordon Mao, Nouman Aldahak, Dorian Kusyk, Matthew Yeager, Daniel Cook, Jeffrey Cameron, Boyle Cheng and Michael Oh
Orthopedic Reviews, v 10(2), pp 36-39
14 Jun 2018
PMID: 30057723
url
https://doi.org/10.4081/or.2018.7549View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

minimally invasive surgery Oswestry Disability Index out-comes sacroiliac joint fusion
Sacroiliac joint (SIJ) dysfunction and its surgical treatment remain a controversial topic in spine surgery. Determining success after SIJ fusion may be difficult due to preexisting back pain, lumbar fusion (LF), and functional disability. We examine the utility of Oswestry Disability Index (ODI) as a measure of clinical outcomes after minimally invasive SIJ fusion. A retrospective review of 24 patients with at least 12- months follow-up. Patients were divided into two groups based on presence of previous LF. Their post-operative ODI was compared with overall satisfaction, pain reduction, and return to work status. No difference in demographics was found in patients with and without prior LF with 92% of patients reporting lower post-operative pain and 96% being satisfied. Presence of LF did not show any statistically significant differences in pain or satisfaction. However, patient with prior LF reported lower ODI than those without LF at 1-year post-operatively (P=0.015). Postoperative ODI may give a falsely pessimistic impression of outcomes in SIJ fusion patients with prior LF, and its use and limitations should be carefully considered in future studies.

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Orthopedics
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