Non-Invasive and Minimally Invasive Management of Low Back Disorders
Kurt T. Hegmann, Russell Travis, Gunnar Andersson, Roger M. Belcourt, Eugene J. Carragee, Ronald Donelson, Marjorie Eskay-Auerbach, Jill Galper, Michael Goertz, Scott Haldeman, Paul D. Hooper, James E. Lessenger, Tom G. Mayer, Kathryn L. Mueller, Donald R. Murphy, William G. Tellin, Matthew S. Thiese, Michael Weiss, Jeffrey S. Harris
Abstract
OBJECTIVE: This abbreviated version of the American College of Occupational and Environmental Medicine's (ACOEM) Low Back Disorders Guideline reviews the evidence and recommendations developed for non-invasive and minimally invasive management of low back disorders. METHODS: 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. A total of 70 high-quality and 564 moderate-quality trials were identified for non-invasive low back disorders. Detailed algorithms were developed. RESULTS: Guidance has been developed for the management of acute, subacute, and chronic low back disorders and rehabilitation. This includes 121 specific recommendations. CONCLUSION: Quality evidence should guide treatment for all phases of managing low back disorders.