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Final Program


Final Program

933 - Correlation between Preoperative ODI and PROMIS Scores in Patients Undergoing Non-Fusion Lumbar Surgery

Friday, February 28, 2025
5:00 PM - 6:30 PM MST
Objectives: The aim of this study is to determine correlation of measures pre-operatively (pre-op) in patients undergoing microdiscectomies or decompressions for degenerative lumbar disease and determine any patterns in demographics that could contribute to establishing benchmarking data that could aid in preoperative counseling and surgical decision making.

Design: Retrospective data collection and analysis of patients completing pre-op ODI and PROMIS Physical Function (PF), Pain Interference (PI) and Satisfaction in Social Roles (SR) prior to lumbar microdiscectomy or decompression for degenerative spine disease.

Results:

158 patients’ charts were reviewed. Group I (ODI < 36), Group II (36≥ODI≤58), and Group III (ODI >58). Group I consisted of 40 patients with a mean age 59.5 ± 15.8 years and 46.7% female; Group II had 77 patients with a mean age of 60.3 ± 15.5 years and 46.3% female; Group III had 41 patients with a mean age of 51.7 ± 15.8 years and 35.5% female. Mean age of Group III was significantly younger than Groups I and II.  In addition to the higher ODI scores, Group III had lowest mean PF (25.2 ± 4.6) and SR (31.1 ± 5.6) PROMIS scores as well as highest mean PI (73.2 ± 3.9) scores. Negative correlations existed, as expected, across all Groups between ODI vs.PF, and ODI vs. SR, whereas a positive correlation was observed between ODI vs. PI across all groups as well.

Conclusions: Patients with the highest self-reported disability and pain interference scores, were significantly younger than patients with lower ODI and PI scores. These younger patients also reported lower physical function and dissatisfaction in social roles than the other patients. This study supports the observation that higher self-reported pain scores are increasingly being seen in younger spine populations.