Hong Jae-Young, Song Kwang-Sup, Cho Jae Hwan, Lee Jae Hyup
Department of Orthopedics, Korea University Ansan Hospital, Ansan, Korea.
Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
Asian Spine J. 2017 Aug;11(4):653-660. doi: 10.4184/asj.2017.11.4.653. Epub 2017 Aug 7.
Currently, guidelines for lower back pain (LBP) treatment are needed. We reviewed the current guidelines and high-quality articles to confirm the LBP guidelines for the Korean Society of Spine Surgery. We searched available databases for high-quality articles in English on LBP published from 2000 to the present year. Literature searches using these guidelines included studies from MEDLINE, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and Embase. We analyzed a total of 132 randomized clinical trials, 116 systematic reviews, 9 meta-analyses, and 4 clinical guideline reviews. We adopted the SIGN checklist for the assessment of article quality. Data were subsequently abstracted by a reviewer and verified. Many treatment options exist for LBP, with a variety of recommendation grades. We assessed the recommendation grade for general behavior, pharmacological therapy, psychological therapy, and specific exercises. This information should be helpful to physicians in the treatment of LBP patients.
目前，需要针对下背痛（LBP）的治疗指南。我们回顾了当前的指南和高质量文章，以确定韩国脊柱外科学会的LBP指南。我们在可用数据库中搜索了2000年至今年发表的关于LBP的英文高质量文章。使用这些指南进行的文献检索包括来自MEDLINE、Cochrane系统评价数据库、Cochrane对照试验中心注册库和Embase的研究。我们总共分析了132项随机临床试验、116项系统评价、9项荟萃分析和4项临床指南评价。我们采用SIGN清单来评估文章质量。随后由一名审阅者提取数据并进行核实。LBP有多种治疗选择，且推荐等级各异。我们评估了一般行为、药物治疗、心理治疗和特定锻炼的推荐等级。这些信息应有助于医生治疗LBP患者。
