Spine Scores

Score systems for spinal disorders are used to evaluate the disease severity and to measure the outcome objectively. The use of spinal scales could enable us to:

1. Evaluate and grade the disease objectively.

2. Develop algorithms for treatment selection.

3. Measure the outcome, treatment effectiveness.
4. Communicate better.

Many of spinal scales are for outcome assessment. Outcome assessment is complex and involves multiple dimensions including symptoms, general well-being, function, work disability, and satisfaction with treatment. A scale system should conform some standards in terms of reliability, validity, responsiveness, and practicality of the measures.

Minimum Clinically Important Difference

Treatment effectiveness following spine surgery is usually measured using patient-reported outcome (PRO) questionnaires such as VAS, Oswestry Disability Index and SF-36. Although these questionnaires assess pain, disability and general health state, their numerical scores lack a direct, clinically significant meaning. Thus, the concept of minimum clinically important difference (MCID) has been introduced which indicates the smallest change in an outcome measure which is important to patients. If treatment effects reach MCID threshold value, it implies that the treatment is clinically significant and justifies its implementation in clinical practice.

Pain Diagram

Low Back

Nomenclature & Classification of Lumbar Disc Pathology

Nomenclature & Classification of Lumbar Disc Pathology
Recommendations of the Combined Task Force of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. By David F. Fardon, MD and Pierre C. Milette, MD.

Members Area

Latest News


  • "I was coming for a holiday trip to Malaysia.On the second day I suffered from a disc hernia.Thanks to Dr Eugene Wong's prompt and professional action, I was even able to go to R..."
    G Marco
    Germany, Netherlands
  • "Jestine and I returned in December to help care for Jacob and my 83-year old mum. Jacob is now nearly bed ridden, and my mum had fallen and badly fractured her left humerus an..."
    Mary Marshall daughter of M Thomas
  • "Before I had constant pain at my back (Below my waist). This made it difficult for me to walk as it caused constant cramps in my left leg.I couldn't sit and stand for long as we..."
    BM Julius

Recent Forum Posts

Symptom Checker

Subscribe To Our Site

Twitter Tweet Button

Send to a friend