Acute back pain: Clinical and radiologic diagnosis: WFNS spine committee recommendations

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dc.contributor.authorGushcha A.O.
dc.contributor.authorSharif S.
dc.contributor.authorZileli M.
dc.contributor.authorOertel J.
dc.contributor.authorZygourakis C.C.
dc.contributor.authorYusupova A.R.
dc.date.accessioned2024-08-31T07:42:31Z
dc.date.available2024-08-31T07:42:31Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: To formulate the most current, evidence-based recommendations for the clinical and radiologic diagnosis of acute low back pain lasting <4 weeks. Methods: A systematic literature search in PubMed and Google Scholar databases was performed from 2012 to 2022 using the search terms “acute back pain AND clinical diagnosis” and “acute back pain AND radiologic diagnosis”. Screening criteria resulted in a total of 97 papers analyzed. Using the Delphi method and two rounds of voting, the WFNS (World Federation of Neurosurgical Societies) Spine Committee generated ten final consensus statements. Results: Ten final consensus statements address the clinical diagnosis of acute LBP, including which clinical conditions cause acute LBP and how we can distinguish between the different causes of LBP, including discogenic, facet joint, sacroiliac joint, and myofascial pain. The most important step for the radiologic diagnosis of acute LBP is to evaluate the necessity of radiologic investigation, as well as its timing and the most appropriate type of imaging modality. Importantly, imaging should not be a routine diagnostic tool, unless red flag signs are present. In fact, routine imaging for acute LBP can actually have a negative effect as it may reveal incidental radiographic findings that exacerbate patient fear and anxiety. Conclusion: Overall, the quality of evidence is not high for most of our consensus statements, and further studies are needed to validate the WFNS Spine Committee recommendations on the clinical and radiographic diagnosis of acute LBP. © 2024 The Authorsen_US
dc.identifier.doi10.1016/j.wnsx.2024.100278
dc.identifier.issn2590-1397
dc.identifier.scopus2-s2.0-85185447813en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org10.1016/j.wnsx.2024.100278
dc.identifier.urihttps://hdl.handle.net/11454/103916
dc.identifier.volume22en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Inc.en_US
dc.relation.ispartofWorld Neurosurgery: Xen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectDiscogenic painen_US
dc.subjectFacet joint painen_US
dc.subjectImaging in acute back painen_US
dc.subjectMyofascial painen_US
dc.subjectRed flag signsen_US
dc.subjectSacroiliac joint painen_US
dc.titleAcute back pain: Clinical and radiologic diagnosis: WFNS spine committee recommendationsen_US
dc.typeReview Articleen_US

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