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Lumbar Total Disc Replacement (TDR)
&
Hybrid TDR / ALIF

Outcomes Analysed to Provide Comprehensive Insights

Patient Outcome Data | Lumbar Fusion & Disc Replacement | Prof Buckland

Patient Outcome Data

As part of your standard of care, Prof Buckland gathers patient reported outcomes (PROs) in order to ensure we gain clear insights into the success rates of our surgeries. By sharing real patient experiences and outcomes, we aim to build trust and confidence in our procedures, helping you make informed decisions about your healthcare journey. This data not only aids in continuous improvement but also guides others towards achieving their best possible outcomes.

Disclaimer: The results presented herein are representative only of Prof Buckland’s surgical outcomes and experiences. They are specific to the techniques and practices of Prof Buckland and cannot be generalized to represent the results of other surgeons. Individual patients’ outcomes may vary based on a variety of factors, including but not limited to the specific methods used, patient health conditions, and procedural circumstances.

Functional & Pain Scores over Time

Baseline 3 Months 1 Year 2 Years
ODI 50.5 34.2 29.1 26.6
Back Pain ( /10) 6.63.52.32.8
Leg Pain ( /10) 5.32.61.62

Likelihood of Improvement

<h2>Likelihood of Improvement</h2>

Interpretation of ODI Scores

  • 0 to 20: Minimal disability; patient copes with most living activities. Usually no treatment is indicated apart from advice on lifting, sitting, and exercise.
  • 21-40: Moderate disability; the patient experiences more pain and difficulty with daily activities. Social and work life may be impacted.
  • 41-60: Severe disability; pain remains the main problem and significantly affects daily living—further investigation is required.
  • 61-80: Crippled; back pain impinges on all aspects of life, requiring positive intervention.
  • 81-100: Extreme; the patient is either bed-bound or exaggerating their symptoms.

How Do We Measure Clinical Improvement?

Clinical benefit is measured by the ‘Minimally Clinically Important Difference’ (MCID). This measurement is used to determine the change in function that a patient would recognize as beneficial and meaningful.

MCID is measured as an improvement in Oswestry Disability Index (ODI) of more than 12.8%1

1. Copay AG, Glassman SD, Subach BR, Berven S, Schuler TC, Carreon LY. Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and Pain Scales. The Spine Journal. 2008;8(6):968-974

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