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Volume 6, Issue 6, Pages 401-407 (June 2009)


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ACR Appropriateness Criteria® on Low Back Pain

Patricia C. Davis, MDaCorresponding Author Informationemail address, Franz J. Wippold II, MDb, James A. Brunberg, MDc, Rebecca S. Cornelius, MDd, Robert L. De La Paz, MDe, Pr Didier Dormontf, Linda Gray, MDg, John E. Jordan, MDh, Suresh Kumar Mukherji, MDi, David J. Seidenwurm, MDj, Patrick A. Turski, MDk, Robert D. Zimmerman, MDl, Michael A. Sloan, MD, MSmn

Acute low back pain with or without radiculopathy is one of the most common health problems in the United States, with high annual costs of evaluation and treatment, not including lost productivity. Multiple reports show that uncomplicated acute low back pain or radiculopathy is a benign, self-limited condition that does not warrant any imaging studies. Guidelines for recognition of patients with more complicated status can be used to identify those who require further evaluation for suspicion of more serious problems and contribute to appropriate imaging utilization.

a Northwest Radiology Consultants, Atlanta, Georgia

b Mallinckrodt Institute of Radiology, Saint Louis, Missouri

c University of California, Davis, Medical Center, Sacramento, California

d University of Cincinnati, Cincinnati, Ohio

e Columbia University Medical Center, New York, New York

f Hôpital de la Salpêtrière, Assistance-Publique-Hôpitaux de Paris, Paris, France

g Duke University Medical Center, Durham, North Carolina

h Advanced Imaging of South Bay, Inc, Torrance, California

i University of Michigan Health System, Ann Arbor, Michigan

j Radiological Associates of Sacramento, Sacramento, California

k University of Wisconsin–Madison, Madison, Wisconsin

l New York Hospital-Cornell University Medical Center, New York, New York

m Carolinas Medical Center, Charlotte, North Carolina

n American Academy of Neurology, St Paul, Minnesota

Corresponding Author InformationCorresponding author and reprints: Patricia C. Davis, MD, Northwest Radiology Consultants, 3193 Howell Mill Road, Suite 110, Atlanta, GA 30327

PII: S1546-1440(09)00088-X

doi:10.1016/j.jacr.2009.02.008


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