Original articleACR Appropriateness Criteria® on Low Back Pain
Section snippets
Summary of Literature Review
Acute low back pain (LBP) with or without radiculopathy is one of the most common health problems in the United States and is the leading cause of disability for persons aged <45 years. The cost of evaluating and treating acute LBP runs into billions of dollars annually, not including time lost from work [1].
Because of the high prevalence and high cost of dealing with this problem, government agencies have sponsored extensive studies that are now part of the growing body of literature on this
Relative Radiation Level Information
Potential adverse health effects associated with radiation exposure are an important factor to consider when selecting the appropriate imaging procedure. Because there is a wide range of radiation exposures associated with different diagnostic procedures, a relative radiation level indication has been included for each imaging examination. The relative radiation levels are based on effective dose, which is a radiation dose quantity that is used to estimate population total radiation risk
References (39)
- et al.
Assessment of functional status, low back disability, and use of diagnostic imaging in patients with low back pain and radiating leg pain
J Clin Epidemiol
(1999) Imaging of adults with low back pain in the primary care setting
Neuroimaging Clin N Am
(2003)- et al.
Are first-time episodes of serious LBP associated with new MRI findings?
Spine J
(2006) - et al.
Estimates and patterns of direct health care expenditures among individuals with back pain in the United States
Spine
(2004) Scientific approach to the assessment and management of activity-related spinal disorders. A monograph for cliniciansReport of the Quebec Task Force on Spinal Disorders
Spine
(1987)Acute low back problems in adults: assessment and treatment
Clin Pract Guidel Quick Ref Guide Clin
(1994)Florida medical practice guidelines for low back pain or injury
(1996)- et al.
Diagnostic evaluation of low back pain with emphasis on imaging
Ann Intern Med
(2002) - et al.
Rapid magnetic resonance imaging vs radiographs for patients with low back pain: a randomized controlled trial
JAMA
(2003) - et al.
Acute low back pain and radiculopathy: MR imaging findings and their prognostic role and effect on outcome
Radiology
(2005)
Imaging studies for acute low back painWhen and when not to order them
Postgrad Med
Use of the one-legged hyperextension test and magnetic resonance imaging in the diagnosis of active spondylolysis
Br J Sports Med
Low back pain: prediction of short-term outcome of facet joint injection with bone scintigraphy
Radiology
Assessment of painful late effects of lumbar spinal fusion with SPECT
J Nucl Med
Planar and high-resolution SPECT bone imaging in the diagnosis of facet syndrome
J Nucl Med
Gadolinium-enhanced MR in spinal infection
J Comput Assist Tomogr
Does early imaging influence management and improve outcome in patients with low back pain?A pragmatic randomised controlled trial
Health Technol Assess
Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjectsA prospective investigation
J Bone Joint Surg Am
Abnormal myelograms in asymptomatic patients
J Neurosurg
Cited by (75)
Low cost portable 3-D printed optical fiber sensor for real-time monitoring of lower back bending
2017, Sensors and Actuators, A: Physical