Evidence map›Paper›PMID 38172794›Full record

ArticleBMC surgery2024

Reliability and validity of Oswestry Disability Index among patients undergoing lumbar spinal surgery.

Konsta Koivunen, Sara Widbom-Kolhanen, Katri Pernaa, Jari Arokoski, Mikhail Saltychev

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
17.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06762951 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Pilates Mat Versus Segmental Control Exercises On Spinopelvic Angles In Patients With Chronic Non-Specific Low Back Pain

TypeinterventionalSponsorCairo UniversityRan2025 to 2026Enrolled60ConditionsChronic Non-Specific Low Back PainArmsPilates mat exercices, Segmental control exercises, Traditional physical therapy
NCT07063992 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Thoracic Spine Manipulation With and Without Costovertebral Joint Manipulation in Patients With Non-specific Mid-back Pain

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled34ConditionsBack PainArmsthoracic facet manipulations, thoracic facet and costovertebral manipulations
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 33 citations in OpenAlex.

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  6. One-year mortality and functional outcome of inpatients aged 85 and older with thoracolumbar vertebral fractures: differences between operative and conservative treatment.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  7. Defining substantial clinical benefits of PROMIS pain interference in adult spinal deformity patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  11. Phase I trial to evaluate safety of Deferiprone-Chitogel to prevent epidural fibrosis in lumbar spine surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  12. BACK-on-LINEEuropean journal of pain (London, England) · 2026
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  20. Patient-Reported Outcomes Measures in Spine Surgery.Current reviews in musculoskeletal medicine · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Konsta KoivunenClinical Division, Turku University Hospital and University of Turku, Turku, 20540, Finland. kokkoi@utu.fi.
Sara Widbom-KolhanenDepartment of Surgery, Satasairaala Hospital, Pori, Finland.
Katri PernaaDepartment of Orthopedics, Turku University Hospital and University of Turku, Turku, Finland.
Jari ArokoskiDepartment of Physical and Rehabilitation Medicine, Helsinki University Hospital and Helsinki University, Turku, Finland.
Mikhail SaltychevDepartment of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Turku University Hospital · FIHelsinki University Hospital · FISatakunta Central Hospital · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to explore the internal consistency and factor structure of the Oswestry Disability Index among patients undergoing spinal surgery. The sample consisted of 1,515 patients who underwent lumbar spinal surgery at a university hospital between 2018 and 2021.

methodsThe patients responded to the Oswestry Disability Index within 2 months before surgery. Cronbach's alpha was used to assess the internal consistency. The factor structure was evaluated using exploratory and confirmatory factor analyses.

resultsThe average age of 1,515 patients was 58.5 (SD 15.8) years and 53% were women. The mean ODI score was 43.4% (SD 17.4%). Of the patients, 68% underwent microsurgical excision of the lumbar intervertebral disc displacement or decompression of the lumbar nerve roots. The internal consistency of the Oswestry Disability Index was found to be good, with an alpha of 0.87 (95% CL 0.86 to 0.88). Exploratory factor analysis resulted in unidimensional structure. Item loadings on this retained factor were moderate to substantial for all 10 items. One-factor confirmatory factor analysis model demonstrated an acceptable fit. The correlations between the main factor "disability" and the individual items varied from moderate (0.44) to substantial (0.76). The highest correlations were observed for items "traveling", "personal care", and "social life". The lowest correlations were observed for the item "standing".

conclusionsThe Oswestry Disability Index is a unidimensional and internally consistent scale that can be used to assess the severity of disability in patients undergoing lumbar spinal surgery. In the studied population, "traveling," "social life," "sex life" and "personal care" were the most important items to define the severity of disability, while "walking" and "standing" were the least important items. The generalizability of the results might be affected by the heterogeneity and modest size of the studied cohort.

trial registrationNot applicable.

Indexed as

Disability EvaluationIntervertebral Disc DisplacementFemaleHumansLumbar VertebraeMaleNeurosurgical ProceduresReproducibility of ResultsSurveys and QuestionnairesDisability evaluationLow back painOrthopedic proceduresPain measurementPatient reported outcome measuresPsychometricsSurveys and questionnaires

Identifiers

PMID38172794
PMCPMC10765861
OpenAlexW4390547760

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.