Chinese Orthopaedic Association Spine Group Low Back Pain Surgery Scoring Standard

Symptoms and Complaints

Low back pain and discomfort

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Low back pain and discomfort

None

Occasional

Frequent or sometimes severe

Often very severe

Leg pain and numbness

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Leg pain and numbness

None

Occasional

Frequent or sometimes severe

Often very severe

Weakness in urination and defecation, and perineal numbness

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Weakness in urination and defecation, and perineal numbness

None

Occasional

Frequent or sometimes severe

Often very severe

Work and life ability

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Work and life ability

Normal

Cannot sustain

Mild impairment

Cannot complete

Leg function

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Leg function

Normal

Only weakness, discomfort, or intermittent claudication after walking 200 meters

Obvious intermittent claudication

Clinical Signs

Spinal mobility, paraspinal tenderness radiating pain, and straight leg raise and reinforcement test

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Spinal mobility, paraspinal tenderness radiating pain, and straight leg raise and reinforcement test

Negative

Mild paraspinal tenderness radiating pain or positive straight leg raise reinforcement test greater than 50 degrees

Slightly limited lumbar mobility, paraspinal tenderness radiating pain, positive straight leg raise reinforcement test

Severely limited lumbar mobility, radiating pain, positive straight leg raise reinforcement test less than 30 degrees

Sensation

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Sensation

Normal

Mild sensory impairment

Obvious sensory impairment

Muscle strength

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Muscle strength

Normal

Mild decrease

Obvious decrease

Tendon reflex

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Tendon reflex

Normal

Decreased or absent

Score:

Chinese Orthopaedic Association Spine Group Low Back Pain Surgery Scoring Standard

Result Interpretation