AANS Online Scientific Sessions: Spine and Peripheral Nerve-Fusion Versus Decompression Alone: Impact On The 10 Sub-Items Of The Oswestry Disability Index

Fusion Versus Decompression Alone: Impact On The 10 Sub-Items Of The Oswestry Disability Index

Video Transcription

Video Summary

The video summarized the findings of a study investigating the impact of fusion versus decompression alone on the 10 sub-items of the Oswestry Disability Index (ODI) for patients with lumbar spondylolisthesis. The study utilized data from the Prospective Quality Outcomes Database Registry and enrolled 608 patients. The results showed that regardless of the treatment strategy, surgery led to significant improvements in all 10 domains of the ODI. However, fusion was associated with superior outcomes in domains such as pain intensity, heavy weight lifting, walking, standing, sexual activity, social activity, and ability to travel compared to decompression alone. There were no significant associations between fusion and self-care, sitting, and sleeping. The study acknowledges the limitations of narrowing inclusion criteria in randomized controlled trials and emphasizes the importance of patient-centered outcome metrics. The video credits various individuals involved in the study and acknowledges the support from the NREF (Neurosurgery Research & Education Foundation).

Asset Subtitle

Andrew K. Chan, MD

Keywords

fusion versus decompression alone

Oswestry Disability Index

lumbar spondylolisthesis

Prospective Quality Outcomes Database Registry

surgery outcomes