What ODI score justifies lumbar spine surgery?

ODI >40% (severe disability) with failure of conservative management supports surgical consideration. Spinal surgery achieves mean ODI improvement of 25-35%. MCID is 10-15% (approximately 5-7 points on 0-50 scale).

What ODI score represents minimal disability?

ODI 0-20%: minimal disability. 21-40%: moderate. 41-60%: severe. 61-80%: crippled (very severe). 81-100%: bed-bound or exaggerating. Most back pain patients present with ODI 30-60%.

Is ODI or RMDQ better for low back outcomes?

ODI better for severe disability and spinal surgery outcomes. Roland-Morris Disability Questionnaire (RMDQ) is more responsive for mild-moderate back pain in primary care. Both have similar MCID (~30% improvement from baseline).

Oswestry Disability Index (ODI) for Low Back Pain

Calculate the Oswestry Low Back Pain Disability Index (ODI). 10 items (pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, travelling, employment) each scored 0-5. Total percentage = disability: 0-20% minimal, 41-60% severe.

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