Abstract
Purpose
This study investigated relationships of Oswestry Disability Index (ODI) and Short Form 36 (SF-36) total and subscale scores with global spinal parameters in patients with degenerative lumbar scoliosis (DLS).
Methods
This was a prospective single-center study of 126 consecutive patients with DLS. Disability was evaluated using the ODI and SF-36 total and subscale scores. Sagittal and coronal parameters were measured. Pearson’s correlation analysis was performed to determine relationships between disability and radiographic parameters.
Results
The study population included 76 women and 15 men (mean age, 70.2 ± 8.4 years). Mean Cobb angle was 18.9° ± 8.0°. The ODI total score and SF-36 physical component score were only correlated with coronal parameters. ODI pain intensity, personal care, lifting, sitting, and sex life domains were only correlated with coronal parameters. The walking, standing, social life, and traveling domain scores were correlated with coronal and sagittal parameters. The SF-36 bodily pain and vitality domain scores were only correlated with coronal parameters. The SF-36 physical function domain score was correlated with both coronal and sagittal parameters. Among the clinical and radiographic parameters, the personal care score and the coronal vertical-axis had the strongest correlation (r = 0.425), although the r2 value was only 0.18.
Conclusions
ODI total score and most of the subscale scores were significantly, but weakly correlated with coronal parameters. Sagittal parameters were only correlated with some of the ODI and SF-36 subscale scores. Analysis using ODI and SF-36 subscale scores may aid in understanding and treatment of disability in patients with DLS.
Similar content being viewed by others
References
Iizuka Y, Iizuka H, Mieda T, Tajika T, Yamamoto A, Takagishi K (2016) Epidemiology and associated radiographic spinopelvic parameters of symptomatic degenerative lumbar scoliosis: are radiographic spinopelvic parameters associated with the presence of symptoms or decreased quality of life in degenerative lumbar scoliosis? Eur Spine J 25:2514–2519
Schwab F, Dubey A, Pagala M, Gamez L, Farcy JP (2003) Adult scoliosis: a health assessment analysis by SF-36. Spine 28:602–606
Koerner JD, Reitman CA, Arnold PM, Rihn J (2015) Degenerative lumbar scoliosis. JBJS Rev 3:1–10
Bess S, Line B, Fu K-M, McCarthy I, Lafage V, Schwab F, Shaffrey C, Ames C, Akbarnia B, Jo H (2016) The health impact of symptomatic adult spinal deformity: comparison of deformity types to United States population norms and chronic diseases. Spine 41:224
Pellisé F, Vila-Casademunt A, Ferrer M, Domingo-Sàbat M, Bagó J, Pérez-Grueso FJ, Alanay A, Mannion A, Acaroglu E, Group ESS (2015) Impact on health related quality of life of adult spinal deformity (ASD) compared with other chronic conditions. Eur Spine J 24:3–11
Mmopelwa T, Ayhan S, Yuksel S, Nabiyev V, Niyazi A, Pellise F, Alanay A, Grueso FJSP, Kleinstuck F, Obeid I (2018) Analysis of factors affecting baseline SF-36 mental component summary in adult spinal deformity and its impact on surgical outcomes. Acta Orthopedica et Traumatolo Turc 52:179–184
Faraj SSA, Kleuver MD, Vila-Casademunt A, Holewijn RM, Obeid I, Acaroğlu E, Alanay A, Kleinstück F, Pérez-Grueso FS, Pellisé F (2018) Sagittal radiographic parameters demonstrate weak correlations with pretreatment patient-reported health-related quality of life measures in symptomatic de novo degenerative lumbar scoliosis: a European multicenter analysis. Spine 28:573. https://doi.org/10.3171/2017.8.161266
Simon J, Longis PM, Passuti N (2017) Correlation between radiographic parameters and functional scores in degenerative lumbar and thoracolumbar scoliosis. Orthoped Traumatol Surg Res 103:285–290. https://doi.org/10.1016/j.otsr.2016.10.021
Ha K-Y, Jang W-H, Kim Y-H, Park D-C (2016) Clinical relevance of the SRS-schwab classification for degenerative lumbar scoliosis. Spine 41:E282–E288
Urrutia J, Espinosa J, Diaz-Ledezma C, Cabello C (2011) The impact of lumbar scoliosis on pain, function and health-related quality of life in postmenopausal women. Eur Spine J 20:2223–2227
Ploumis A, Liu H, Mehbod AA, Transfeldt EE, Winter RB (2009) A correlation of radiographic and functional measurements in adult degenerative scoliosis. Spine 34:1581–1584
Lafage V, Schwab F, Patel A, Hawkinson N, Farcy J-P (2009) Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine 34:E599–E606
Schwab F, Farcy J-P, Bridwell K, Berven S, Glassman S, Harrast J, Horton W (2006) A clinical impact classification of scoliosis in the adult. Spine 31:2109–2114
Schwab F, el-Fegoun AB, Gamez L, Goodman H, Farcy J-P (2005) A lumbar classification of scoliosis in the adult patient: preliminary approach. Spine 30:1670–1673
Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, Farcy J-P (2005) Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine 30:1082–1085
Glassman SD, Berven S, Bridwell K, Horton W, Dimar JR (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682–688
Schwab FJ, Smith VA, Biserni M, Gamez L, Farcy J-PC, Pagala M (2002) Adult scoliosis: as quantitative radiographic and clinical analysis. Spine 27:387–392
Mac-Thiong J-M, Transfeldt EE, Mehbod AA, Perra JH, Denis F, Garvey TA, Lonstein JE, Wu C, Dorman CW, Winter RB (2009) Can c7 plumbline and gravity line predict health related quality of life in adult scoliosis? Spine 34:E519–E527
Kim SB, Heo YM, Hwang CM, Kim TG, Hong JY, Won YG, Ham CU, Min YK, Yi JW (2018) Reliability of the EOS imaging system for assessment of the spinal and pelvic alignment in the sagittal plane. Clin Orthop Surg 10:500–507. https://doi.org/10.4055/cios.2018.10.4.500
Fairbank J (2000) Revised Oswestry disability questionnaire. Spine 25:2552
Fairbank J, Couper J, Davies J, O’Brien J (1980) The Oswestry low back pain disability questionnaire. Physiotherapy 66:271–273
Murphy HA, Warnick E, McEntee R, Nicholson K, Hollern DA, Stawicki C, Tarazona D, Schroeder GD, Woods BI, Kurd MF (2018) Which domains of the ODI best predict change in physical function in patients after surgery for degenerative lumbar spondylolisthesis? Spine 43:805–812
Djurasovic M, Glassman SD, Dimar JR 2nd, Crawford CH 3rd, Bratcher KR, Carreon LY (2012) Changes in the Oswestry Disability Index that predict improvement after lumbar fusion. J Neurosurg Spine 17:486–490. https://doi.org/10.3171/2012.8.12614
Häkkinen A, Kautiainen H, Järvenpää S, Arkela-Kautiainen M, Ylinen J (2007) Changes in the total Oswestry Index and its ten items in females and males pre-and post-surgery for lumbar disk herniation: a 1-year follow-up. Eur Spine J 16:347–352
Jeon C-H, Kim D-J, Kim S-K, Kim D-J, Lee H-M, Park H-J (2006) Validation in the cross-cultural adaptation of the korean version of the oswestry disability index. J Korean Med Sci 21:1092–1097
Kim D-Y, Lee S-H, Lee H-Y, Lee H-J, Chang S-B, Chung S-K, Kim H-J (2005) Validation of the korean version of the Oswestry Disability Index. Spine 30:E123–E127
Jeon C-H, Kim D-J, Kim D-J, Lee H-M, Park H-J (2005) Cross-cultural adaptation of the korean version of the Oswestry Disability Index (ODI). J Korean Soc Spine Surg 12:146–152
Ware JE Jr (2000) SF-36 health survey update. Spine 25:3130–3139
Laucis NC, Hays RD, Bhattacharyya T (2015) Scoring the SF-36 in orthopedics: a brief guide. J Bone Joint Surg Am 97:1628–1634. https://doi.org/10.2106/JBJS.O.00030
Evans JD (1996) Straightforward statistics for the behavioral sciences. Thomson Brooks/Cole Publishing Co, Pacific Grove
Tonosu J, Takeshita K, Hara N, Matsudaira K, Kato S, Masuda K, Chikuda H (2012) The normative score and the cut-off value of the Oswestry Disability Index (ODI). Eur Spine J 21:1596–1602
Zanoli G, Jönsson B, Strömqvist B (2006) SF-36 scores in degenerative lumbar spine disorders: analysis of prospective data from 451 patients. Acta Orthop 77:298–306
Kim SH, Jo M-W, Lee S-i (2013) Psychometric properties of the korean short form-36 health survey version 2 for assessing the general population. Asian Nurs Res 7:61–66
Buttermann GR, Mullin WJ (2008) Pain and disability correlated with disk degeneration via magnetic resonance imaging in scoliosis patients. Eur Spine J 17:240–249
Aebi M (2005) The adult scoliosis. Eur Spine J 14:925–948
Hawasli AH, Chang J, Yarbrough CK, Steger-May K, Lenke LG, Dorward IG (2016) Interpedicular height as a predictor of radicular pain in adult degenerative scoliosis. Spine J 16:1070–1078. https://doi.org/10.1016/j.spinee.2016.04.017
Ploumis A, Transfledt EE, Denis F (2007) Degenerative lumbar scoliosis associated with spinal stenosis. spine j 7:428–436
Ploumis A, Transfeldt EE, Gilbert TJ Jr, Mehbod AA, Dykes DC, Perra JE (2006) Degenerative lumbar scoliosis: radiographic correlation of lateral rotatory olisthesis with neural canal dimensions. Spine 31:2353–2358
Gadiya AD, Borde MD, Kumar N, Patel PM, Nagad PB, Bhojraj SY (2020) Analysis of the functional and radiological outcomes of lumbar decompression without fusion in patients with degenerative lumbar scoliosis. Asian Spine J 14:9–16. https://doi.org/10.31616/asj.2019.0022
Naresh-Babu J, Viswanadha AK, Ito M, Park JB (2019) What should an ideal adult spinal deformity classification system consist of?: review of the factors affecting outcomes of adult spinal deformity management. Asian Spine J 13:694–703. https://doi.org/10.31616/asj.2018.0309
Bisson EF, Bowers CA, Hohmann SF, Schmidt MH (2015) Smoking is associated with poorer quality-based outcomes in patients hospitalized with spinal disease. Front surg 2:20
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None of the authors has any potential conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Jeon, CH., Chung, NS., Chung, HW. et al. Prospective investigation of Oswestry Disability Index and short form 36 subscale scores related to sagittal and coronal parameters in patients with degenerative lumbar scoliosis. Eur Spine J 30, 1164–1172 (2021). https://doi.org/10.1007/s00586-021-06740-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00586-021-06740-4