European Spine Journal

, Volume 27, Issue 3, pp 543–553 | Cite as

Shaping conservative spinal services with the Spine Tango Registry

  • Samuel MorrisEmail author
  • James Booth
Original Article



This study reports the results of a registry data collection project within a secondary care spinal osteopathy service.


Clinical and demographic data were collected using the Spine Tango Conservative registry data collection tool. Outcomes were assessed using the Numerical Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), Neck Disability Index (NDI), COMI Low Back Conservative (COMI-LBC), COMI Neck Conservative (COMI-NC) and EQ5D. Global treatment outcome (GTO), satisfaction with care and therapeutic complications were reported using the Spine Tango Patient Self Assessment form (STPSA). The correlation of GTO and PROM change scores was analysed using Spearman’s rank correlation coefficient.


262 patients presented during the study period. 100% of patients had chronic spinal pain and 98.8% had previously received other interventions for the same episode. Mean (standard deviation) improvements by PROM: NPRS low back 2.1 (2.5); NPRS neck 2.3 (2.3); COMI-LBC 2.1 (2.2); COMI-NC 2.0 (1.7); ODI 10.5 (12.1); NDI 14.5 (12.2); EQ5D 0.2 (0.3). 83.2% of patients reported that osteopathy had ‘helped a lot’ or ‘helped’. 96.2% of patients were ‘very satisfied’ or ‘satisfied’ with care. There were no serious therapeutic complications.


The secondary care spinal osteopathy service demonstrated high satisfaction, few therapeutic complications and positive outcomes on all PROMs. Registry participation has facilitated robust clinical governance and the data support the use of osteopaths to deliver a conservative spinal service in this setting. Registry data collection is a significant administrative and clinical task which should be structured to minimise burden on patients and resources.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.


Registries Patient outcome assessment Data collection Clinical governance Osteopathy 


Compliance with ethical standards

Conflict of interest

None of the authors has any potential conflict of interest.

Supplementary material

586_2018_5484_MOESM1_ESM.pptx (133 kb)
Supplementary material 1 (PPTX 132 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Spinal Outpatient’s DepartmentQueen’s Medical Centre, Nottingham University HospitalsNottinghamUK

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