Oertel Joachim, Sharif Salman, Zygourakis Corinna, Sippl Christoph
Department of Neurosurgery, Saarland University Medical Centre, Kirrbergerstrasse 100, Gebaeude 90.5, 66421 Homburg Saar, Germany.
Department of Neurosurgery, Liaqat National Hospital and Medical School, Stadium Road, Karachi 74800, Pakistan.
World Neurosurg X. 2024 Mar 1;22:100313. doi: 10.1016/j.wnsx.2024.100313. eCollection 2024 Apr.
Acute low back pain is a highly prevalent condition that poses significant challenges to healthcare systems worldwide. In this manuscript, we present the most current, evidence-based guidelines from the World Federation of Neurosurgical Societies (WFNS) Spine Committee on the epidemiology, etiology, and prevention of acute low back pain (LBP) lasting ≤ 4 weeks.
We performed a literature review 2012-2022 using the PubMed, Medline, and CENTRAL databases with the keywords "acute low back pain", "acute back pain", "low back pain", "epidemiology", "etiology", "costs", "risk factor", "cultural", "developed", "developing" and "prevention". Systematic screening criteria were applied, resulting in 13 final articles on epidemiology and etiology of LBP, 2 manuscripts on costs, 5 articles on risk factors, and 23 articles on prevention strategies for acute LBP. These were presented at two separate international meetings, where members of the WFNS Spine Committee voted on five final consensus statements presented here.
and Conclusions: There is a high incidence and prevalence of acute LBP, particularly in high-income countries, which is felt to be at least partially due to demographic shifts with an aging population and lifestyle changes including higher rates of obesity and physical inactivity. Acute LBP has a significant impact on quality of life and ability to work, resulting in high direct and indirect costs worldwide. Early diagnosis and appropriate management of acute LBP is recommended to prevent this pain from turning into chronic LBP. The WFNS Spine Committee's recommendations respresent the latest guidelies to help improve patient care for acute LBP worldwide.
急性下腰痛是一种非常普遍的疾病，给全球医疗系统带来了重大挑战。在本手稿中，我们介绍了世界神经外科协会联合会（WFNS）脊柱委员会关于持续时间≤4周的急性下腰痛（LBP）的流行病学、病因和预防的最新循证指南。
我们在2012年至2022年期间使用PubMed、Medline和CENTRAL数据库进行文献综述，关键词为“急性下腰痛”、“急性背痛”、“下腰痛”、“流行病学”、“病因”、“成本”、“危险因素”、“文化”、“发达国家”、“发展中国家”和“预防”。应用系统筛选标准，最终得到13篇关于LBP流行病学和病因的文章、2篇关于成本的手稿、5篇关于危险因素的文章以及23篇关于急性LBP预防策略的文章。这些文章在两次单独的国际会议上进行了展示，WFNS脊柱委员会成员对这里提出的五项最终共识声明进行了投票。
急性LBP的发病率和患病率很高，尤其是在高收入国家，这被认为至少部分归因于人口结构变化导致的人口老龄化以及生活方式的改变，包括肥胖率上升和身体活动不足。急性LBP对生活质量和工作能力有重大影响，在全球范围内导致高昂的直接和间接成本。建议对急性LBP进行早期诊断和适当管理，以防止这种疼痛转变为慢性LBP。WFNS脊柱委员会的建议代表了最新的指南，有助于改善全球急性LBP患者的护理。
