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SP0060 Eular recommendations for the use of imaging in mechanical low back pain
  1. Bjarke B Hansen1,
  2. Lene Terslev1,
  3. Francis Berenbaum2,
  4. Ingrid Möller3,
  5. Mikael Boesen1,
  6. Jean Denis Laredo2,
  7. Francois Rannou2,
  8. Stefan Lohmander4,
  9. Martin Englund4,
  10. Xenofon Baraliakos5,
  11. Philip Conaghan6,
  12. Stéphane Genevay7,
  13. Clémence Palazzo2,
  14. David John Wilson8,
  15. Ross Wilkie9,
  16. Daniel Prieto-Alhambra8,
  17. Alison Kent8,
  18. Souzi Makri10,
  19. Victoria Navarro Compán11,
  20. Christelle Nguyen2,
  21. Maria Else Marie Bartels1,
  22. Cecilie Nordberg1,
  23. Antonietta D’Agostino2,
  24. Gilles Fournier1,
  25. G.L. Fournier12,
  26. on behalf of EULAR Task Force
  1. 1Copenhagen, Denmark
  2. 2Paris, France
  3. 3Barcelona Spain
  4. 4Lund, Sweden
  5. 5Ruhr,Germany
  6. 6Leeds, UK
  7. 7Genève Switzerland
  8. 8Oxford, UK
  9. 9Keele, UK
  10. 10Cyprus
  11. 11Madrid, Spain
  12. 12Rheumatology, Center for Rheumatology and Spine Diseases, Copenhagen (Frederiksberg), Denmark


Background Low back pain is common and relates to a variety of overlapping pathologies. Imaging of the spine has a high priority in the assessment of patients with low back pain. However, studies have shown that clinicians vary widely in how frequently they obtain imaging tests for assessment of low back pain. Technical advances in the field of lumbar spine imaging are made at an increasingly high rate, and it seems likely that improved imaging procedures can indeed increase the understanding of low back pain and aid the diagnostic precision to the diagnostics of mechanical low back pain. The EULAR Task Force consists of radiologists, orthopaedic surgeons, rheumatologists, doctors in physical medicine and general medicine, physiotherapist and patients and the aim of the group was to develop evidence-based recommendations for the use of imaging modalities in low back pain with or without radiculopathy

Based on PICOs established at the first meeting and using European League Against Rheumatism (EULAR) standardised operating procedures a systematic literature review was conducted to retrieve data on the role of imaging modalities including both conventional, contrast enhanced and dynamic approaches in radiography, ultrasound, MRI and CT. The recommendations will be based on the results of the systematic literature review and expert opinion and will be relevant for to all health care professionals who treat mechanical low back patients due to its multifactorial nature.

Reference [1] Hansen BB, Hansen P, Carrino JA, Fournier G, Rasti Z, Boesen M. Imaging in mechanical back pain: Anything new? Best Pract Res Clin Rheumatol [Internet]. Elsevier Ltd2016Aug;30(4):766–85.

[2] Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: Systematic review and meta-analysis. Lancet. Elsevier Ltd2009;373(9662):463–72.

[3] Stochkendahl MJ, Kjaer P, Hartvigsen J, Kongsted A, Aaboe J, Andersen M, et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J2017;1–16.

Disclosure of Interest None declared

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