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. 2021 Apr 1;63(4):e215-e241.
doi: 10.1097/JOM.0000000000001983.

Invasive Treatments for Low Back Disorders

Kurt T Hegmann  1 , Russell Travis, Gunnar B J Andersson, Roger M Belcourt, Eugene J Carragee, Marjorie Eskay-Auerbach, Jill Galper, Michael Goertz, Scott Haldeman, Paul D Hooper, James E Lessenger, Tom Mayer, Kathryn L Mueller, Donald R Murphy, William G Tellin, Matthew S Thiese, Michael S Weiss, Jeffrey S Harris
Affiliations

Invasive Treatments for Low Back Disorders

Kurt T Hegmann et al. J Occup Environ Med. .

Abstract

Objective: This abbreviated version of the American College of Occupational and Environmental Medicine's Low Back Disorders guideline reviews the evidence and recommendations developed for invasive treatments used to manage low back disorders.

Methods: Comprehensive systematic literature reviews were accomplished with article abstraction, critiquing, grading, evidence table compilation, and guideline finalization by a multidisciplinary expert panel and extensive peer-review to develop evidence-based guidance. Consensus recommendations were formulated when evidence was lacking and often relied on analogy to other disorders for which evidence exists. A total of 47 high-quality and 321 moderate-quality trials were identified for invasive management of low back disorders.

Results: Guidance has been developed for the invasive management of acute, subacute, and chronic low back disorders and rehabilitation. This includes 49 specific recommendations.

Conclusion: Quality evidence should guide invasive treatment for all phases of managing low back disorders.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Hegmann KT, Travis R, Belcourt RM, et al. Diagnostic tests for low back disorders. J Occup Environ Med 2019; 61:e155–e168.
    1. Hegmann KT, Travis R, Andersson GBJ, et al. Non-invasive and minimally invasive management of low back disorders. J Occup Environ Med 2020; 62:e111–e138.
    1. American College of Occupational and Environmental Medicine. ACOEM Practice Guidelines: Chronic Pain. MDGuidelines website; 2017. Available at: https://www.mdguidelines.com/acoem/disorders/chronic-pain . Accessed February 4, 2020.
    1. American College of Occupational and Environmental Medicine. ACOEM Practice Guidelines: Low Back Disorders; 2019. Available at: https://www.mdguidelines.com/acoem/disorders/low-back-disorders . Accessed February 4, 2020.
    1. Institute of Medicine. Standards for Developing Trustworthy Clinical Practice Guidelines; 2011. Available at: http://www.nationalacademies.org/hmd/Reports/2011/Clinical-Practice-Guid... . Accessed February 4, 2020.

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