Moving toward a standard for spinal fusion outcomes assessment

Kevin John Blount*, W. Jay Krompinger, Rose Maljanian, Bruce D. Browner

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Previous spinal fusion outcomes assessment studies have been complicated by inconsistencies in evaluative criteria and consequent variations in results. As a result, a general consensus is lacking on how to achieve comprehensive outcomes assessment for spinal fusion surgeries. The purpose of this article is to report the most validated and frequently used assessment measures to facilitate comparable outcomes studies in the future. Twenty-seven spinal fusion outcomes studies published between 1990 and 2000 were retrospectively reviewed. Study characteristics such as design, evaluative measures, and assessment tools were recorded and analyzed. Based on the reviewed literature, an outcomes assessment model is proposed including the Short Form-36 Health Survey, the Oswestry Disability Questionnaire, the North American Spine Society Patient Satisfaction Index, the Prolo Economic Scale, a 0-10 analog pain scale, medication use, radiographically assessed fusion status, and a generalized complication rate.

Original languageEnglish (US)
Pages (from-to)16-23
Number of pages8
JournalJournal of Spinal Disorders and Techniques
Issue number1
StatePublished - Jan 1 2002


  • Outcomes
  • Spinal fusion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology


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