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Society guideline links: Lower spine disorders

Society guideline links: Lower spine disorders

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Spondylolysis and spondylolisthesis" and "Society guideline links: Chronic pain management".)

International

International Federation of Ortho-paedic Manipulative Physical Therapists (IFOMPT): Position statement – International framework for red flags for potential serious spinal pathologies (2020)

American Society of Regional Anesthesia and Pain Medicine (ASRA), European Society of Regional Anaesthesia and Pain Therapy (ESRA), American Academy of Pain Medicine (AAPM), International Neuromodulation Society (INS), North American Neuromodulation Society (NANS), and World Institute of Pain (WIP): Guidelines on interventional spine and pain procedures in patients on antiplatelet and anticoagulant medications, 2nd edition (2018)

Canada

Choosing Wisely Canada: Canadian Spine Society (CSS) – Eight things physicians and patients should question (2021)

Choosing Wisely Canada: Don't do imaging for lower-back pain unless red flags are present (2020)

Choosing Wisely Canada: Don't order lumbosacral (low back) spinal imaging in patients with non-traumatic low back pain who have no red flags/pathologic indicators (2020)

United States

North American Spine Society (NASS): Guidelines

American College of Radiology (ACR): ACR Appropriateness Criteria on inflammatory back pain – Known or suspected axial spondyloarthritis (2021)

ACR: ACR Appropriateness Criteria on low back pain (2021)

American Physical Therapy Association (APTA): Clinical practice guidelines for interventions for the management of acute and chronic low back pain, revision (2021)

American College of Occupational and Environmental Medicine (ACOEM): Practice guideline on diagnostic tests for low back disorders (2019)

ACR: Appropriateness Criteria on management of vertebral compression fractures (2018)

American Society of Regional Anesthesia and Pain Medicine (ASRA), European Society of Regional Anaesthesia and Pain Therapy (ESRA), American Academy of Pain Medicine (AAPM), International Neuromodulation Society (INS), North American Neuromodulation Society (NANS), and World Institute of Pain (WIP): Guidelines on interventional spine and pain procedures in patients on antiplatelet and anticoagulant medications, 2nd edition (2018)

American College of Physicians (ACP): Clinical practice guideline on noninvasive treatments for acute, subacute, and chronic low back pain (2017)

US Department of Veterans Affairs (VA)/US Department of Defense (DoD): Clinical practice guideline for diagnosis and treatment of low back pain (2017)

ACOEM: Practice guidelines on opioids for treatment of acute, subacute, chronic, and postoperative pain (2014)

American Society of Interventional Pain Physicians (ASIPP): Comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain, update (2013)

Europe

American Society of Regional Anesthesia and Pain Medicine (ASRA), European Society of Regional Anaesthesia and Pain Therapy (ESRA), American Academy of Pain Medicine (AAPM), International Neuromodulation Society (INS), North American Neuromodulation Society (NANS), and World Institute of Pain (WIP): Guidelines on interventional spine and pain procedures in patients on antiplatelet and anticoagulant medications, 2nd edition (2018)

United Kingdom

National Institute for Health and Care Excellence (NICE): Interventional procedures guidance on neurostimulation of lumbar muscles for refractory non-specific chronic low back pain (2022)

NICE: Medical technologies guidance on iFuse for treating chronic sacroiliac joint pain (2018, updated 2022)

NICE: Guideline on low back pain and sciatica in over 16s – Assessment and management (2016, updated 2020)

Choosing Wisely UK: Royal College of Physicians (RCP): Patients with low back pain do not routinely need imaging (2018)

NICE: Interventional procedures guidance on transaxial interbody lumbosacral fusion for severe chronic low back pain (2018)

NICE: Interventional procedures guidance on lateral interbody fusion in the lumbar spine for low back pain (2017)

NICE: Interventional procedures guidance on minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain (2017)

NICE: Quality standard on low back pain and sciatica in over 16s (2017)

NICE: Interventional procedures guidance on epiduroscopic lumbar discectomy through the sacral hiatus for sciatica (2016)

NICE: Interventional procedures guidance on percutaneous coblation of the intervertebral disc for low back pain and sciatica (2016)

NICE: Interventional procedures guidance on percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica (2016)

NICE: Interventional procedures guidance on percutaneous interlaminar endoscopic lumbar discectomy for sciatica (2016)

NICE: Interventional procedures guidance on percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain (2016)

NICE: Interventional procedures guidance on insertion of an annular disc implant at lumbar discectomy (2014)

NICE: Interventional procedures guidance on peripheral nerve-field stimulation for chronic low back pain (2013)

NICE: Interventional procedures guidance on non-rigid stabilisation techniques for the treatment of low back pain (2010)

NICE: Interventional procedures guidance on therapeutic endoscopic division of epidural adhesions (2010)

Australia–New Zealand

Choosing Wisely Australia: Do not prescribe benzodiazepines for low back pain (2018)

Choosing Wisely Australia: Do not prescribe spinal orthotics or bed rest for patients with non-specific low back pain (2018)

Choosing Wisely Australia: Do not refer axial lower lumbar back pain for spinal fusion surgery (2018)

Choosing Wisely Australia: Do not undertake imaging for low back pain in patients without indications of a serious underlying condition (2018)

Choosing Wisely Australia: Do not order X-rays or other imaging for acute non-specific low back pain, unless there are red flags or other clinical reasons to suspect serious spinal pathology (2017)

Choosing Wisely Australia: Do not use imaging for diagnosing non-specific acute low back pain in the absence of red flags (2017)

Choosing Wisely Australia: Avoid using electrotherapy modalities in the management of patients with low back pain (2016)

Choosing Wisely Australia: Don't request imaging for patients with non-specific low back pain and no indicators of a serious cause for low back pain (2016)

Choosing Wisely Australia: Don't perform imaging for patients with non-specific acute low back pain and no indicators of a serious cause for low back pain (2015)

Japan

[In Japanese] Japanese Orthopedic Association (JOA): Clinical practice guideline on lumbar disc herniation, 3rd edition (2021)

[In Japanese] JOA: Clinical practice guideline on lumbar spinal canal stenosis, 2nd edition (2021)

[In Japanese] JOA: Clinical practice guideline on backache treatment, 2nd edition (2019)

[In Japanese] Choosing Wisely Japan: Treatment of low back pain – What is the period of proper bed rest? (2018)

Topic 115413 Version 29.0

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