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Research ArticleSPINE

Evaluation of Vertebroplasty with a Validated Outcome Measure: The Roland-Morris Disability Questionnaire

Andrew T. Trout, David F. Kallmes, Leigh A. Gray, Barbara A. Goodnature, Sandra L. Everson, Bryan A. Comstock and Jeffrey G. Jarvik
American Journal of Neuroradiology November 2005, 26 (10) 2652-2657;
Andrew T. Trout
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David F. Kallmes
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Leigh A. Gray
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Barbara A. Goodnature
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Sandra L. Everson
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Bryan A. Comstock
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Jeffrey G. Jarvik
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    Fig 1.

    Mean RDQ and pain scores, with SDs, across follow-up. There is significant improvement in all 3 outcome measures at 1 week that persists throughout follow-up.

Tables

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    TABLE 1:

    Correlation between Roland score and pain scales at each time point throughout follow-up

    Pain at RestPain with Activity
    Baseline0.300.47
    1 week0.570.52
    1 month0.440.40
    6 months0.310.63
    • View popup
    TABLE 2:

    Linear regression of baseline Roland and pain with activity scores

    CovariateRolandBaseline, Pain with ActivityBaseline, Pain at Rest
    Baseline
        Pain with activity<.001.06
        Pain at rest.002.06
        Roland score<.001.04
    Age.09.58.30
    Sex (male).06.20.99
    Level
        Lumbar.50.38.12
        Thoracic.64.29.18
    Number of levels treated.45.43.35
    • Note.—Columns indicate P values.

    • View popup
    TABLE 3:

    Results of previous outcome measure studies

    StudynInstrumentResult
    Zoarski et al (18)30 patients, 54 fracturesMODEMS (includes SF-36)Improvement in all 4 MODEMS modules (P < .0001, P < .0001, P < .0004, P < .0009)
    Perez-Higueras et al (19)13 patients, 37 fracturesMcGill-Melzack Pain QuestionnaireImprovement in scores following treatment (P < .001), but worsening at follow-up (mean of 65 months)
    Legroux-Gerot et al (12)16 patients, 21 fracturesMcGill-Melzack Pain QuestionnaireDecrease in scores at 6 months with no change through maximal follow-up (mean of 35 months) (P < .05)
    Nottingham Health ProfileDecrease in quality of life (P = .05); increase in social isolation (P < .05), otherwise no change
    Cortet et al (20)16 patients, 20 fracturesMcGill-Melzack Pain QuestionnaireDecrease in score at days 3, 30, 90, and 180 (all P < .005)
    Health ProfileDecrease in 5 of 6 dimensions (P < .001, P < .05, P < .05, P < .05), not sleep
    Winking et al (14)38 patientsODIDecrease in mean score at day 2, which persisted to 6 weeks (P < .01)
    • Note.—MODEMS indicates Musculoskeletal Outcomes Data Evaluation and Management Scale; ODI, Oswestry Low Back Pain Disability Questionnaire.

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American Journal of Neuroradiology: 26 (10)
American Journal of Neuroradiology
Vol. 26, Issue 10
1 Nov 2005
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Andrew T. Trout, David F. Kallmes, Leigh A. Gray, Barbara A. Goodnature, Sandra L. Everson, Bryan A. Comstock, Jeffrey G. Jarvik
Evaluation of Vertebroplasty with a Validated Outcome Measure: The Roland-Morris Disability Questionnaire
American Journal of Neuroradiology Nov 2005, 26 (10) 2652-2657;

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Evaluation of Vertebroplasty with a Validated Outcome Measure: The Roland-Morris Disability Questionnaire
Andrew T. Trout, David F. Kallmes, Leigh A. Gray, Barbara A. Goodnature, Sandra L. Everson, Bryan A. Comstock, Jeffrey G. Jarvik
American Journal of Neuroradiology Nov 2005, 26 (10) 2652-2657;
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