Complex & Revision Lumbar Fusion

Comprehensive Analysis of Patient Outcome Data and Its Implications for Surgical Success

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 Aaron Buckland’s surgical outcomes and experiences. They are specific to his techniques and practices and cannot be generalized to represent the results of other surgeons. Individual 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 and Pain Scores Over Time

	Preoperative	3 Month Follow-up	1 Year Follow-up	2 Year Follow-up
ODI	52.5	31.5	27.9	32.8

Interpretation of ODI Scores

0 to 20: Minimal disability; the patient can cope with most living activities.
21 to 40: Moderate disability; increased pain and difficulty with daily activities.
41 to 60: Severe disability; significant impact on daily living—further investigation is required.
61 to 80: Crippled; back pain affects nearly all aspects of life, requiring intervention.
81 to 100: Extreme; the patient is bed-bound or symptoms are greatly exaggerated.

<h2>Likelihood of Improvement</h2>

How Do We Measure Clinical Improvement?

Clinical improvement is measured by the ‘Minimally Clinically Important Difference’ (MCID). This measurement is used to determine the change in function that a patient would recognise 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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