{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T02:57:28Z","timestamp":1783738648375,"version":"3.55.0"},"reference-count":33,"publisher":"SLACK, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>The authors identified patients with an increase in their Oswestry Disability Index (ODI) score after lumbar spine fusion to evaluate whether this is a plausible definition of deterioration and to determine whether any common patient characteristics exist.<\/jats:p>\n          <jats:p>A total of 1054 patients who underwent lumbar spinal fusion and had 2-year follow-up data, including the Short Form 36, the ODI, and numeric rating scales for back and leg pain, were identified. Patients with worsening ODI were compared with the remaining cohort. Twenty-eight patients had an absolute increase (worse) in ODI at 1 year postoperatively. Participants with worsening ODI scores included 13 men and 15 women with an average age of 43.3 years; 15 (54%) were smokers. Common medical comorbidities included obesity and hypertension. Complications occurred in 5 (18%) patients and included wound infection, dural tear, and nerve root injury. Pseudarthrosis was common (n=8; 28%). Twenty-one patients required an additional intervention, including epidural injections, fusion revision, and cervical spine surgery.<\/jats:p>\n          <jats:p>It is important to have a clear definition of deterioration to better provide informed consent or choice of treatment. Only 28 (2.6%) patients were identified as having an increase in ODI score at 2-year follow-up.<\/jats:p>","DOI":"10.3928\/01477447-20130327-26","type":"journal-article","created":{"date-parts":[[2013,4,16]],"date-time":"2013-04-16T13:02:34Z","timestamp":1366117354000},"source":"Crossref","is-referenced-by-count":8,"title":["Predictors of Oswestry Disability Index Worsening After Lumbar Fusion"],"prefix":"10.3928","volume":"36","author":[{"given":"Jeffrey L.","family":"Gum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah Y.","family":"Carreon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey D.","family":"Stimac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Glassman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B1.1269"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00017"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2005.09.004"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00063-5"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.01.008"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01095"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-011-0123-6"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2009.12.027"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31822ef74d"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.11.006"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000143664.02702.0b"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000050654.97387.DF"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000207257.64215.03"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-002-0464-0"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2008.08.011"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000150488.03578.b5"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1284-2"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.06.013"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199801010-00024"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31817b8f6f"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2007.6.4.1"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318198c5f2"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200010150-00011"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000229252.30903.b9"},{"key":"e_1_3_1_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181c68b75"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000206362.03950.5b"},{"key":"e_1_3_1_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200010150-00012"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181cf1091"},{"key":"e_1_3_1_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2006.11.003"},{"key":"e_1_3_1_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318198cae4"},{"key":"e_1_3_1_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31822ef6de"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20130327-26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T01:12:23Z","timestamp":1683076343000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20130327-26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.3928\/01477447-20130327-26"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20130327-26","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4]]}}}