Society guideline links: Thoracic and lumbar spine injury in adults

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: Cervical spine injury" and "Society guideline links: General issues of trauma management in adults" and "Society guideline links: Thoracic trauma".)

International

●A clinical practice guideline for the management of patients with acute spinal cord injury (2017)

•Recommendations on the role of baseline magnetic resonance imaging in clinical decision making and outcome prediction

•Recommendations on the timing (≤24 hours versus >24 hours) of decompressive surgery

•Recommendations on the type and timing of anticoagulant thromboprophylaxis

•Recommendations on the type and timing of rehabilitation

•Recommendations on the use of methylprednisolone sodium succinate

United States

●American College of Surgeons Trauma Quality Programs (ACS TQP): Best practice guidelines – Spine injury (2022)

●Congress of Neurological Surgeons (CNS): Guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma (2019)

•Classification of injury

•Executive summary

•Hemodynamic management

•Operative versus nonoperative treatment

•Pharmacological treatment

•Prophylaxis and treatment of thromboembolic events

•Neurological assessment

•Nonoperative care

•Novel surgical strategies

•Radiological evaluation

•Surgical approaches

•Timing of surgical intervention

●Wilderness Medical Society (WMS): Clinical practice guidelines for spinal cord protection (2019)

●American College of Radiology (ACR): ACR Appropriateness Criteria for the management of vertebral compression fractures (revised 2018)

●ACR: ACR Appropriateness Criteria for suspected spine trauma (revised 2018)

●Eastern Association for the Surgery of Trauma (EAST): Practice management guideline on screening for thoracolumbar spinal injuries in blunt trauma (2012)

●American Academy of Orthopaedic Surgeons (AAOS): Clinical practice guideline for the treatment of symptomatic osteoporotic spinal compression fractures (2011)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Interventional procedures guidance on percutaneous insertion of craniocaudal expandable implants for vertebral compression fracture (2016)

●NICE: Guideline on spinal injury – Assessment and initial management (2016)

●British Orthopaedic Association (BOA): Standards for trauma (BOAST) on spinal clearance in the trauma patient (2015)

●BOA: Standards for trauma on the management of traumatic spinal cord injury (2015)

●NICE: Interventional procedures guidance on balloon kyphoplasty for vertebral compression fractures (2006)

Japan

●[In Japanese] Japanese Association of Rehabilitation Medicine (JARM): Japanese guidelines for pulmonary rehabilitation of neuromuscular disease and spinal cord injury (2014)