The Oswestry Disability Index has become one of the major condition specific outcome measures for spinal problems. The original version has been in use since the late 1970’s. It was modified in 1985 by a MRC Working Group. Innumerable papers have cited the ODI and many of these have used the ODI as an outcome. It has been translated into at least five other languages. The understanding of the validation and behaviour of outcome measures has expanded considerably in the 22 years since the ODI was first published. Many studies have been done on the ODI in conjunction with other spinal outcome measures. This material has now been brought together on a new website (