A validation of the Oswestry Spinal Risk Index

S. Whitehouse, J. Stephenson, V. Sinclair, J. Gregory, A. Tambe, R. Verma, Irfan Siddique, Mohammad Saeed

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


Purpose: The purpose of this study was to validate the Oswestry Spinal Risk Index (OSRI) in an external population. The OSRI predicts survival in patients with metastatic spinal cord compression (MSCC). Methods: We analysed the data of 100 patients undergoing surgical intervention for MSCC at a tertiary spinal unit and recorded the primary tumour pathology and Karnofsky performance status to calculate the OSRI. Logistic regression models and survival plots were applied to the data in accordance with the original paper. Results: Lower OSRI scores predicted longer survival. The OSRI score predicted survival accurately in 74% of cases (p = 0.004). Conclusions: Our study has found that the OSRI is a significant predictor of survival at levels similar to those of the original authors and is a useful and simple tool in aiding complex decision making in patients presenting with MSCC

Original languageEnglish
Pages (from-to)247-251
Number of pages5
JournalEuropean Spine Journal
Issue number1
Early online date13 Nov 2014
Publication statusPublished - 1 Jan 2016


Dive into the research topics of 'A validation of the Oswestry Spinal Risk Index'. Together they form a unique fingerprint.

Cite this