Box and whisker plot depicting the score distribution of each NOMS subscale. Box and whisker plot depicting the score distribution of each NOMS subscale. Mean value represented by (+), the box represents quartiles 1 through 3 intersected by the median value. Whiskers represent the maximum and minimum data points. NOMS V mean, median, quartile 1, and quartile 3 values were all 1, which is representative of a minimal to min-moderate limitation. Joseph A Sclafani et al. Int J Spine Surg 2017;11:35 Copyright © 2017 ISASS - This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery