Part I: Characteristics of Surgical Spine Patients at Bangkok Spine Academy (BSA)

Main Article Content

Weeranoot Wiboonphan, B.N., M.N.S
Wilai Aiumpatoomsak, B.N., M.Sc
Phudhiphorn Thienprasit, MD, PhD
Tayard Buranakarl, MD


OBJECTIVE. To use the Oswestry Disability Index (ODI) and Euro Quality of Life (EuroQol) as pre-screening assessment tools to improve surgery outcomes for patients with spinal disorders.

MATERIALS AND METHODS. Prior to surgical intervention, 223 (out of 311 lumbar spine) patients who were eventually treated with surgery at Bangkok Spine Academy between August 2010 and June 2011, filled out the above mentioned questionnaires pre-operatively. ODI and EuroQol were used to assess their mobility, activities, pain, anxiety etc., which could help better determine their spine disability together with their medical history and physical examination.

RESULTS. Mobility: Pre-operative 157 (92.9%) had problems, 12 (7.1%) had no problems. Self-care: Pre-operative 97 (57.4%) had problems, 72 (42.6%) had no problems. Usual activities: Pre-operative 157 (92.9%) had problems, 12 (7.1%) had no problems.Pain/discomfort: Pre-operative 167 (98.82%) had problems, 2 (1.18%) had no problems. Anxiety/depression: Pre-operative 137 (81.07%) had problems, 32 (18.93%) had no problems.

CONCLUSION. All patients who underwent surgery for the treatment of low back pain were found to be having significant disability and restrictions in their lives; using the pre-operative ODI and EuroQol measurements they could be categorized as having moderate to severe disability.


Download data is not yet available.

Article Details

How to Cite
Wiboonphan W, Aiumpatoomsak W, Thienprasit P, Buranakarl T. Part I: Characteristics of Surgical Spine Patients at Bangkok Spine Academy (BSA). BKK Med J [Internet]. 2012 Feb. 20 [cited 2023 Dec. 5];3(1):22. Available from:
Original Article


1. Podesta L. Rhythmic Physician: Low Back Pain Disc Bulges, Herniations. DRUM! Magazine 2011;on March 17.
2. Cherkin DC, Deyo RA, Loeser JD, et al. International comparison of back surgery rates. Spine 1994;19:1201-16.
3. Strömqvist B. Evidence-based lumbar spine surgery (The role of national registration). Acta Orthop Scand 2002;73(Suppl 305):34-9.
4. Block AR, Ohnmeiss DD, Guyer RD, et al. The use of presurgical psychological screening to predict the out come of spine surgery. Spine J 2001;1:274-82.
5. Carragee EJ. Psychological screening in the surgical treatment of lumbar disc herniation. Clin J Pain 2001;17:215-9.
6. Junge A, Dvorak J and Ahrens S. Predictors of bad and good outcomes of lumbar disc surgery. A prospective clinical study with recommendations for screening to avoid bad outcomes. Spine 1995;20:460-8.
7. Chou R, Qaseem A, Snow V, et al. Clinical guidelines Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society 2007.
8. Solberg TK, Olsen JA, Ingebrigtsen T, et al. Health-re lated quality of life assessment by the EuroQol-5D can provide cost-utility data in the field of low-back surgery. Euro Spine J 2005;14:1000-7.
9. Rabin R, Oemar M and Oppe M. EQ-5D-3L User Guide: Basic information on how to use the EQ-5D-3L instrument. 1-24. 2011.
10. Fairbank JC, Couper J, Davies JB, et al. The Oswestry low back pain disability questionnaire. Physiotherapy 1980;66:271-3.
11. Fairbank JC, Pynsent PB, “The Oswestry Disability Index. Spine 2000;25:2940-52.
12. Sanjaroensuttikul N. The Oswestry low back pain disability questionnaire (Version 1.0) Thai version. J Med Assoc Thai 2007;90:1417-22.
13. Sirinart Tongsiri. The Thai population based preference scores for EQ5D health states 2009. Ministry of Public Health, Thailand.
14. Glassman S, Gornet MF, Branch C, et al. MOS Short Form 36 and Oswestry Disability Index outcomes in lumbar fusion: a multi centerexperience. The Spine Journal 2006;6:21-6.
15. The EuroQol Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy: The EuroQol Group 2009.