Spinal FrontiersPowered by NSpine2026plannedcervical
S2k-Leitlinie Frakturen der oberen Halswirbelsäule
DGOU / DWG (AWMF)
Summary
A German S2k guideline on upper cervical spine fractures is in development, planned for 2026.
Guideline →Source checked
Recently added or updated
Degenerative cervical & DCM1
Deformity1
2025newdeformity
S2k-Leitlinie Morbus Scheuermann
DGOU / DWG (AWMF)
Summary
German S2k guideline on Scheuermann's disease completed in 2025, according to the German Spine Society's guideline commission report.
Guideline →Source checked
Paediatric1
2026-07newpaediatric
Consensus-based guidelines for research in bracing in idiopathic scoliosis
SRS Comprehensive Care Committee with SOSORT
Summary
A Delphi and nominal-group process produced 28 research standards for brace studies (patient selection, objective wear monitoring, at least two years' follow-up, standard outcomes); they guide research design, not clinical care.
Guideline →Source checked
Trauma & SCI4
2026-02-23updatedtrauma
S2k-Leitlinie Verletzungen der thorakolumbalen Wirbelsäule, version 2.0
DGOU / DWG (AWMF 187-031)
Summary
The German thoracolumbar injury guideline was upgraded from S1 (2018) to S2k, with 32 recommendations all agreed by full consensus and an updated literature base.
Guideline →Source checked
2026plannedtrauma
S2k-Leitlinie Wirbelsäulenimmobilisation im Rettungsdienst
DGOU / DWG (AWMF)
Summary
A German S2k guideline on pre-hospital spinal immobilisation is in development, planned for 2026.
Guideline →Source checked
2025-11updatedtrauma
Acute Spinal Trauma: 2025 update
ACR Appropriateness Criteria
Summary
ACR updated its imaging appropriateness guidance for suspected acute spinal trauma; a patient-friendly summary appeared in JACR in November 2025.
Guideline →Source checked
2025-04-15newtrauma
S2k-Leitlinie Diagnostik und Therapie osteoporotischer thorakolumbaler Wirbelfrakturen
DGOU / DWG (AWMF 187-063)
Summary
Interdisciplinary guideline from 19 societies with a refined fracture classification, a conservative-versus-surgical decision algorithm and bone-health follow-up; publicised by DGOU in October 2026 and valid to 2030.
Guideline →Source checked
Tumour & metastases2
2026-06-05updatedtumour
Richtlijn Wervelmetastasen (spinal metastases)
Nederlandse Vereniging voor Neurologie (Netherlands)
Summary
The Dutch multidisciplinary spinal metastases guideline, comprising 37 modules, was published or re-confirmed as valid in June 2026.
Guideline →Source checked
2026plannedtumour
S2k-Leitlinie Primärtumoren der Wirbelsäule
DGOU / DWG (AWMF)
Summary
A new German S2k guideline on primary spinal tumours was initiated, with completion planned for 2026.
Guideline →Source checked
Infection2
2026-09-01newinfection
International Consensus Meeting 2025: recommendations on pyogenic and tubercular spinal infections
ICM 2025 (with AO Spine / Global Spine Journal)
Summary
132 surgeons from 32 countries voted on 73 priority questions, publishing separate consensus recommendations for pyogenic and tubercular spondylodiscitis in a Global Spine Journal supplement (16(3S)).
Guideline →Source checked
2026plannedinfection
S2k-Leitlinie Spondylodiszitis (revision)
DGOU / DWG (AWMF)
Summary
Revision of the German spondylodiscitis guideline is under way with completion planned for 2026.
Guideline →Source checked
Perioperative1
2026plannedperioperative
Evidence-based clinical guidelines in development: neoplastic vertebral fractures, osteoporotic compression fractures, antithrombotics (revision)
NASS
Summary
NASS lists three evidence-based guidelines in development; its most recent published guideline remains low back pain (2020).
Guideline →Source checked
Pain & conservative care2
2026-05in consultationpain & interventional
Coverage recommendations under revision or in development (2026)
NASS
Summary
NASS reported six coverage recommendations under revision (facet interventions, SI joint injections/RFA, SCS, rhBMP-2, MIS SI joint fusion, endoscopic decompression) and four new topics including growing rods for scoliosis, annular closure and MIS lumbar decompression.
Guideline →Source checked
2025newpain & interventional
S2k-Leitlinie Epidurale Injektionen
DGOU / DWG (AWMF)
Summary
German S2k guideline on epidural injections for spinal pain completed in 2025, per the German Spine Society commission report.
Guideline →Source checked
Imaging1
2026-09updatedimaging
Myelopathy: 2026 update
ACR Appropriateness Criteria
Summary
The ACR neurological imaging panel revised its imaging recommendations for suspected myelopathy across acute, chronic and vascular presentations, aiming to separate extrinsic from intrinsic cord disease; published in JACR 23(9).
Guideline →Source checked
Other2
2026-08-04updateddegenerative
Coverage recommendation: rhBMP-2 in lumbar fusion (revised)
NASS
Summary
NASS narrowed its support for rhBMP-2 to posterolateral and TLIF fusion in adults at high risk of non-union (e.g. revision, multilevel, osteoporosis, prior radiation, smoking or diabetes), replacing its 2014 policy and requiring documentation of the risk.
Guideline →Source checked
2026-02planneddegenerative
Nationale VersorgungsLeitlinie Nicht-spezifischer Kreuzschmerz
ÄZQ / BÄK / KBV / AWMF (Germany)
Summary
The national care guideline for non-specific low back pain is marked as no longer valid and under revision; no release date is given.
Guideline →Source checked
Library of current guidelines
Degenerative lumbar21
CurrentAANS/CNS Joint Section on Disorders of the Spine and Peripheral NervesUSA
Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine
Adults considered for lumbar fusion for degenerative disease (multi-part series).
Details
- Version
- 2014 (J Neurosurg Spine, July 2014; updated 2005 edition)
- Last updated
- 2014
- Type
- guideline
Read the guideline →Source checked
CurrentAO Spine Knowledge Forum DegenerativeInternational
AO Spine Clinical Practice Recommendations for Interbody Fusion at the Lumbo-Sacral JunctionNew · week 1
Adults having interbody fusion at L5-S1 (ALIF versus TLIF, including isthmic spondylolisthesis), with conditional recommendations graded from literature and expert opinion.
Details
- Version
- 2026-10 (Global Spine J, online ahead of print)
- Last updated
- 2026-10-23
- Type
- consensus
Read the guideline →Source checked
CurrentAustralian Commission on Safety and Quality in Health Care (ACSQHC)Australia
Low Back Pain Clinical Care Standard
People aged 16 and over presenting with acute low back pain, with or without sciatica.
Details
- Version
- 2022-09-01
- Type
- care standard
Read the guideline →Source checked
CurrentDGOU with 15 societies incl. DGNC, DWG, DGOOC (AWMF)Germany
S2k-Leitlinie Spezifischer Kreuzschmerz (AWMF 187-059)
Adults with specific (attributable-cause) low back pain; replaced the expired 033-051 (2018).
Details
- Version
- Version 2.0, 2024-03-12
- Last updated
- 2024-03-12
- Next review
- valid until 2028-03-11
- Type
- guideline
Read the guideline →Source checked
CurrentFederatie Medisch Specialisten – initiated by NVNNetherlands
Richtlijn Lumbosacraal Radiculair Syndroom (LRS)
Adults with lumbosacral radicular syndrome (sciatica).
Details
- Version
- 2020-08-03
- Last updated
- validity assessed 2020-09-21
- Next review
- modular maintenance; reassessment per module
- Type
- guideline
Read the guideline →Source checked
CurrentJapanese Orthopaedic Association (JOA) / Japanese Society for Spine Surgery and Related Research (JSSR)JapanPaywall
JOA Clinical Practice Guidelines on the Management of Lumbar Spinal Stenosis, 2021
Adults with lumbar spinal stenosis. Bibliographic record URL.
Details
- Version
- 2021 (English secondary publication J Orthop Sci 28(1):46-91, Jan 2023)
- Last updated
- 2023 (English publication)
- Type
- guideline
Read the guideline →Source checked
CurrentNICEUK (England)
Epiduroscopic lumbar discectomy through the sacral hiatus for sciatica (HTG425, formerly IPG570)
Adults with sciatica considered for epiduroscopic discectomy via the sacral hiatus.
Details
- Version
- IPG570 (date not shown on fetched listing)
- Last updated
- migrated to HealthTech guidance HTG425; content unchanged
- Type
- IPG
Read the guideline →Source checked
CurrentNICEUK (England)
Lateral interbody fusion in the lumbar spine for low back pain (HTG431, formerly IPG574)
Adults with low back pain considered for lateral lumbar interbody fusion.
Details
- Version
- 2017-02-22 (IPG574, replaced IPG321)
- Last updated
- migrated to HealthTech guidance HTG431; last reviewed 2017-02-22
- Next review
- Reviewed if new evidence or safety concerns
- Type
- IPG
Read the guideline →Source checked
CurrentNICEUK (England)
Low back pain and sciatica in over 16s: assessment and management (NG59)
Adults over 16 with low back pain with or without sciatica.
Details
- Version
- 2016 (NG59)
- Last updated
- 2020-09 (pharmacological management of sciatica added)
- Type
- guideline
Read the guideline →Source checked
CurrentNICEUK (England)
Minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain (HTG436, formerly IPG578)
Adults with chronic sacroiliac joint pain.
Details
- Version
- 2017-04-05 (IPG578)
- Last updated
- migrated to HealthTech guidance HTG436
- Next review
- Reviewed if new evidence or safety concerns
- Type
- IPG
Read the guideline →Source checked
CurrentNICEUK (England)
Percutaneous coblation of the intervertebral disc for low back pain and sciatica (HTG397, formerly IPG543)
Adults with discogenic low back pain or sciatica considered for disc coblation.
Details
- Version
- IPG543 (date not shown on fetched listing)
- Last updated
- migrated to HealthTech guidance HTG397; content unchanged
- Type
- IPG
Read the guideline →Source checked
CurrentNICEUK (England)
Percutaneous interlaminar endoscopic lumbar discectomy for sciatica (HTG411, formerly IPG555)
Adults with sciatica from lumbar disc herniation considered for interlaminar endoscopic discectomy.
Details
- Version
- 2016-04-27
- Last updated
- migrated from IPG555 to HealthTech guidance HTG411 (2025); content unchanged
- Type
- IPG
Read the guideline →Source checked
CurrentNICEUK (England)
Percutaneous transforaminal endoscopic lumbar discectomy for sciatica (HTG412, formerly IPG556)
Adults with sciatica from lumbar disc herniation considered for transforaminal endoscopic discectomy.
Details
- Version
- 2016-04-27
- Last updated
- migrated from IPG556 to HealthTech guidance HTG412; content unchanged
- Type
- IPG
Read the guideline →Source checked
CurrentNICEUK (England)
Prosthetic intervertebral disc replacement in the lumbar spine (HTG197, formerly IPG306)
Adults considered for lumbar total disc replacement.
Details
- Version
- 2009 (IPG306)
- Last updated
- last reviewed 2009-07-22; migrated to HTG197
- Type
- IPG
Read the guideline →Source checked
CurrentNorth American Spine Society (NASS)USA / International
NASS Evidence-Based Clinical Guideline: Diagnosis and Treatment of Adult Isthmic Spondylolisthesis
Adults with isthmic spondylolisthesis.
Details
- Version
- 2014
- Last updated
- 2014
- Type
- guideline
Read the guideline →Source checked
CurrentNorth American Spine Society (NASS)USA / International
NASS Evidence-Based Clinical Guideline: Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis
Adults with degenerative lumbar spinal stenosis.
Details
- Version
- Revised 2011
- Last updated
- 2011
- Type
- guideline
Read the guideline →Source checked
CurrentNorth American Spine Society (NASS)USA / International
NASS Evidence-Based Clinical Guideline: Diagnosis and Treatment of Degenerative Spondylolisthesis
Adults with degenerative lumbar spondylolisthesis.
Details
- Version
- Revised 2014
- Last updated
- 2014
- Type
- guideline
Read the guideline →Source checked
CurrentNorth American Spine Society (NASS)USA / International
NASS Evidence-Based Clinical Guideline: Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy
Adults with lumbar disc herniation and radiculopathy.
Details
- Version
- 2012
- Last updated
- 2012
- Type
- guideline
Read the guideline →Source checked
CurrentNorth American Spine Society (NASS); endorsed by AAPM&R and AANS/CNSUSA / International
NASS Evidence-Based Clinical Guideline: Diagnosis and Treatment of Low Back Pain
Adults with low back pain.
Details
- Version
- 2020
- Last updated
- 2020-08-10
- Type
- guideline
Read the guideline →Source checked
CurrentWFNS Spine CommitteeInternational
WFNS Spine Committee Recommendations: Lumbar Disc Herniation (series)
Adults with lumbar disc herniation (conservative care, surgery, recurrence).
Details
- Version
- 2024-04 (World Neurosurg X, vol 22)
- Last updated
- 2024
- Type
- consensus
Read the guideline →Source checked
CurrentWFNS Spine CommitteeInternational
WFNS Spine Committee Recommendations: Lumbar Spinal Stenosis (series)
Adults with lumbar spinal stenosis (diagnosis, conservative care, decompression, fusion, motion preservation).
Details
- Version
- 2020-07 (World Neurosurg X, vol 7 suppl)
- Last updated
- 2020
- Type
- consensus
Read the guideline →Source checked
Degenerative cervical & DCM3
CurrentAO Spine Knowledge Forum (SCI and DCM)International
AO Spine Clinical Practice Guideline for the Management of Patients with Degenerative Cervical Myelopathy
Adults with mild, moderate or severe DCM and non-myelopathic patients with cord compression.
Details
- Version
- 2017-09-05 (Global Spine J 7(3) suppl)
- Last updated
- 2017
- Type
- guideline
Read the guideline →Source checked
CurrentNorth American Spine Society (NASS)USA / International
NASS Evidence-Based Clinical Guideline: Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders
Adults with cervical radiculopathy from degenerative disorders.
Details
- Version
- 2010
- Last updated
- 2010
- Type
- guideline
Read the guideline →Source checked
CurrentWFNS Spine CommitteeInternational
WFNS Spine Committee Recommendations: Cervical Spondylotic Myelopathy (series)
Adults with cervical spondylotic myelopathy.
Details
- Version
- 2019-09-30 (Neurospine 16(3); Delphi meeting Nagpur 2018)
- Last updated
- 2019
- Type
- consensus
Read the guideline →Source checked
Deformity4
CurrentAAOS, Scoliosis Research Society (SRS), POSNA, American Academy of PediatricsUSA
Early Detection of Idiopathic Scoliosis in Adolescents (AAOS/SRS/POSNA/AAP position statement)
Adolescents; screening for idiopathic scoliosis.
Details
- Version
- 2015 statement; published JBJS 2016;98(16):e67
- Last updated
- 2016
- Type
- consensus
Read the guideline →Source checked
CurrentAmerican College of Radiology (Expert Panel on Pediatric Imaging)USA
ACR Appropriateness Criteria: Scoliosis-Child
Children with scoliosis (idiopathic, congenital, neuromuscular).
Details
- Version
- 2018 (new)
- Last updated
- 2018
- Type
- appropriateness
Read the guideline →Source checked
CurrentInternational Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT)International
2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth
Children and adolescents with idiopathic scoliosis (conservative treatment).
Details
- Version
- 2016 (published Scoliosis Spinal Disord, 2018-01-10)
- Last updated
- 2018
- Type
- guideline
Read the guideline →Source checked
CurrentUS Preventive Services Task Force (USPSTF)USA
Adolescent Idiopathic Scoliosis: Screening (USPSTF Final Recommendation Statement)
Asymptomatic children and adolescents aged 10-18 years.
Details
- Version
- 2018-01-09
- Last updated
- surveillance scan 2025-01 found no new evidence warranting update
- Type
- guideline
Read the guideline →Source checked
Paediatric3
CurrentAmerican College of Radiology (Expert Panel on Pediatric Imaging)USA
ACR Appropriateness Criteria: Back Pain-Child
Children with back pain, by red-flag and clinical variant.
Details
- Version
- 2024 update (JACR 22(5S), May 2025)
- Last updated
- 2024
- Type
- appropriateness
Read the guideline →Source checked
CurrentCongress of Neurological Surgeons (CNS) Section on Pediatrics; endorsed by AANS and Bobby Jones Chiari and Syringomyelia FoundationUSA
CNS Systematic Review and Evidence-Based Guidelines for Patients with Chiari Malformation
Children and adults with Chiari malformation type I (diagnosis, symptoms, surgical interventions).
Details
- Version
- 2023 (Neurosurgery)
- Last updated
- CNS page modified 2025-02-20
- Next review
- task force to confirm currency within 5 years of publication
- Type
- guideline
Read the guideline →Source checked
CurrentCongress of Neurological Surgeons (CNS); endorsed by AANS and Spina Bifida AssociationUSA
CNS Systematic Review and Evidence-Based Guidelines for Pediatric Myelomeningocele
Children with myelomeningocele (prenatal repair, shunting, tethered cord, etc.).
Details
- Version
- 2019-08-20 (Neurosurgery executive summaries)
- Last updated
- 2019
- Type
- guideline
Read the guideline →Source checked
Trauma & SCI14
CurrentAANS/CNS Joint Section on Disorders of the Spine and Peripheral NervesUSA
Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries: 2013 update
Adults and children with acute cervical spine and spinal cord injury. Note: some topics later addressed by the AO Spine 2017/2024 SCI guidelines.
Details
- Version
- 2013 (Neurosurgery supplement, March 2013; replaced 2002 edition)
- Last updated
- 2013
- Type
- guideline
Read the guideline →Source checked
CurrentAO Spine / Praxis Spinal Cord InstituteInternational
AO Spine Clinical Practice Guideline for the Prevention, Diagnosis and Management of Intraoperative Spinal Cord Injury
Adults undergoing spine surgery at risk of intraoperative spinal cord injury.
Details
- Version
- 2024 (Global Spine J 14(3 suppl))
- Last updated
- 2024-03
- Type
- guideline
Read the guideline →Source checked
CurrentAO Spine / Praxis Spinal Cord InstituteInternational
AO Spine-Praxis Clinical Practice Guidelines for the Management of Acute Spinal Cord Injury (2024 update: timing of decompression; haemodynamic management)
Adults with acute traumatic SCI.
Details
- Version
- 2024 (Global Spine J 14(3 suppl), focus issue dated 2023-2024)
- Last updated
- 2024-03
- Type
- guideline
Read the guideline →Source checked
CurrentCongress of Neurological Surgeons (CNS) / AANS-CNS Spine SectionUSAPaywall
CNS Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma
Patients with thoracolumbar spine trauma. Executive summary record given.
Details
- Version
- 2019 (Neurosurgery, published online Jan 2019; dated 2018 on some sources)
- Last updated
- 2019
- Type
- guideline
Read the guideline →Source checked
CurrentConsortium for Spinal Cord Medicine (Paralyzed Veterans of America)USA
Early Acute Management in Adults with Spinal Cord Injury: a clinical practice guideline for health-care professionals
Adults with acute SCI. PVA page lists it without year; year from journal record (PMID 18959359).
Details
- Version
- 2008 (J Spinal Cord Med)
- Last updated
- not stated on PVA page
- Type
- guideline
Read the guideline →Source checked
CurrentDGN / DMGP (AWMF)Germany
S3-Leitlinie Diagnostik und Therapie der akuten Querschnittlähmung (AWMF 030-070)
Adults with acute traumatic and non-traumatic spinal cord injury.
Details
- Version
- Version 6.1, 2024-09-25 (fully revised)
- Last updated
- 2024-09-25
- Next review
- valid until 2029-09-24
- Type
- guideline
Read the guideline →Source checked
CurrentDGOU / DWG (AWMF)Germany
S2k-Leitlinie Verletzungen der thorakolumbalen Wirbelsäule (AWMF 187-031)
Adults with traumatic thoracolumbar spine injuries.
Details
- Version
- Version 2.0, 2026-02-23 (upgraded from S1, 2018)
- Last updated
- 2026-02-23
- Next review
- not stated in fetched PDF
- Type
- guideline
Read the guideline →Source checked
CurrentEastern Association for the Surgery of Trauma (EAST)USA
Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient
Obtunded adults after blunt trauma.
Details
- Version
- 2015 (J Trauma 78(2):430-441)
- Last updated
- 2015
- Type
- guideline
Read the guideline →Source checked
CurrentItalian Neurosurgical Society (SINch) Spine SectionItalyPaywall
Traumatic vertebral fracture of the thoracic-lumbar junction (T11-L2): recommendations of the Spine Committee of the Italian Neurosurgical SocietyNew · week 1
Definition, classification, diagnosis and treatment of traumatic T11-L2 fractures; Delphi consensus of society members on 38 statements after a non-systematic literature review.
Details
- Version
- 2026-11 (J Neurosurg Sci, online ahead of print)
- Last updated
- 2026-11-04
- Type
- consensus
Read the guideline →Source checked
CurrentNICEUK (England)
Spinal injury: assessment and initial management (NG41)
Pre-hospital and emergency assessment and early management of traumatic spinal column and spinal cord injury.
Details
- Version
- 2016 (NG41)
- Last updated
- not stated on fetched page
- Type
- guideline
Read the guideline →Source checked
CurrentStiell et al., Ottawa Hospital Research Institute (Canada)CanadaPaywall
The Canadian C-Spine Rule for radiography in alert and stable trauma patients
Alert, stable adult trauma patients being assessed for cervical spine imaging. A validated decision rule rather than a guideline; referenced by NICE NG41 and ACR.
Details
- Version
- 2001-10 (JAMA)
- Last updated
- 2001
- Type
- clinical decision rule
Read the guideline →Source checked
CurrentWFNS Spine CommitteeInternational
WFNS Spine Committee Recommendations: Cervical Spine Trauma and Spinal Cord Injury (series)
Adults and children with cervical spine trauma and SCI, incl. SCIWORA and rehabilitation.
Details
- Version
- 2020-12 (Neurospine)
- Last updated
- 2020
- Type
- consensus
Read the guideline →Source checked
CurrentWFNS Spine CommitteeInternational
WFNS Spine Committee Recommendations: Thoracolumbar Spine Fractures (series)
Adults with thoracolumbar fractures. Institutional repository record.
Details
- Version
- 2021 (Neurospine 18(4))
- Last updated
- 2021
- Type
- consensus
Read the guideline →Source checked
SupersededAO Spine Knowledge Forum (SCI and DCM)International
AO Spine Clinical Practice Guidelines for the Management of Acute Spinal Cord Injury (2017)
Adults with acute traumatic SCI (timing of decompression, methylprednisolone, anticoagulation, rehabilitation). Status 'superseded' applies to the updated topics only.
Details
- Version
- 2017-09-05 (Global Spine J 7(3) suppl)
- Last updated
- 2017
- Type
- guideline
- Replaced by
- AO Spine-Praxis 2024 guideline updates on timing of decompression and haemodynamic management (other 2017 topics, e.g. methylprednisolone, not re-examined in the update)
Read the guideline →Source checked
Tumour & metastases6
CurrentAmerican Society for Radiation Oncology (ASTRO)USA
External Beam Radiation Therapy for Palliation of Symptomatic Bone Metastases: an ASTRO Clinical Practice Guideline
Adults with symptomatic bone metastases including spinal metastases and cord/cauda equina compression; replaces ASTRO 2017.
Details
- Version
- 2024-05 (Pract Radiat Oncol)
- Last updated
- 2024
- Type
- guideline
Read the guideline →Source checked
CurrentAO Spine Knowledge Forum TumorInternationalPaywall
AO Spine Knowledge Forum Tumor: Spine Oncology Treatment Recommendations (Focus Issue II)
Adults with primary and metastatic spinal tumours.
Details
- Version
- 2016-10-15 (Spine 41(20S))
- Last updated
- 2016
- Type
- consensus
Read the guideline →Source checked
CurrentDGOU / DWG (AWMF)Germany
S2k-Leitlinie Wirbelsäulenmetastasen (AWMF 187-003)
Adults with spinal metastases.
Details
- Version
- Version 1.0, 2024
- Last updated
- 2024
- Next review
- not stated in fetched PDF
- Type
- guideline
Read the guideline →Source checked
CurrentFederatie Medisch Specialisten – initiated by Nederlandse Vereniging voor Neurologie (NVN)Netherlands
Richtlijn Wervelmetastasen
Adults with spinal metastases, including metastatic spinal cord compression.
Details
- Version
- 2026-06-05 (modular, 37 modules)
- Last updated
- 2026-06-05
- Next review
- modular maintenance; reassessment per module
- Type
- guideline
Read the guideline →Source checked
CurrentNICEUK (England)
Spinal metastases and metastatic spinal cord compression (NG234)
Adults with spinal metastases or suspected/confirmed metastatic spinal cord compression.
Details
- Version
- 2023-09 (NG234; replaced CG75, 2008)
- Last updated
- 2024-08 (minor link change)
- Next review
- Bisphosphonate and denosumab recommendations (last reviewed 2008) flagged for a later update
- Type
- guideline
Read the guideline →Source checked
CurrentNorth American Spine Society (NASS)USA / International
NASS Clinical Guideline for the Diagnosis and Treatment of Adults with Neoplastic Vertebral FracturesNew · week 1
Adults with neoplastic vertebral fractures, symptomatic or not.
Details
- Version
- 2024 (literature to October 2020)
- Last updated
- 2024
- Type
- guideline
Read the guideline →Source checked
Infection6
CurrentAmerican College of RadiologyUSA
ACR Appropriateness Criteria: Suspected Spine Infection
Adults with suspected spinal infection. URL from search result; ACR page not loaded.
Details
- Version
- 2021 (JACR, Nov 2021)
- Last updated
- 2021
- Type
- appropriateness
Read the guideline →Link not yet verified
CurrentEuropean Association of Neurosurgical Societies (EANS) Spine SectionEurope
EANS Spine Section Delphi consensus: diagnosis and management of de novo non-specific spinal infections (spondylodiscitis)
Adults with de novo (non-postoperative) non-specific spondylodiscitis.
Details
- Version
- 2025-01 (Brain and Spine vol 5, 104178)
- Last updated
- 2025
- Type
- consensus
Read the guideline →Source checked
CurrentInfectious Diseases Society of America (IDSA); endorsed by ESCMID, MSIS, ASSR, RSSUSA
IDSA Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults
Adults with native (non-postoperative) vertebral osteomyelitis. IDSA labels it 'current'.
Details
- Version
- 2015 (Clin Infect Dis 61(6):e26-e46)
- Last updated
- 2015
- Type
- guideline
Read the guideline →Source checked
CurrentInternational Consensus Meeting on Musculoskeletal Infection 2025 – Spine Section (published with AO Spine, Global Spine Journal)International
ICM 2025 global consensus recommendations on spinal infections (pyogenic and tubercular spondylodiscitis)
Patients with pyogenic or tubercular spondylodiscitis; 132 surgeons from 32 countries, 73 questions.
Details
- Version
- 2026-09-01 (Global Spine J 16(3S))
- Last updated
- 2026-09-01
- Type
- consensus
Read the guideline →Source checked
CurrentSociété de Pathologie Infectieuse de Langue Française (SPILF)FrancePaywall
2022 SPILF Clinical Practice Guidelines for the diagnosis and treatment of disco-vertebral infection in adults
Adults with disco-vertebral infection (spondylodiscitis). Bibliographic record URL; publisher page not loaded.
Details
- Version
- 2022 (Infect Dis Now 2023; 53(3):104647)
- Last updated
- 2023
- Type
- guideline
Read the guideline →Source checked
Under reviewDWG / DGOOC (AWMF)Germany
S2k-Leitlinie Diagnostik und Therapie der Spondylodiszitis (AWMF 151-001)
Adults with suspected or confirmed spondylodiscitis.
Details
- Version
- 2020-08-26
- Last updated
- 2020-08-26
- Next review
- revision listed as planned for 2026 in the DWG guideline commission report
- Type
- guideline
Read the guideline →Source checked
Osteoporosis & fragility fractures8
CurrentAmerican College of RadiologyUSA
ACR Appropriateness Criteria: Management of Vertebral Compression Fractures
Adults with osteoporotic or pathological vertebral compression fractures (imaging and procedure appropriateness).
Details
- Version
- Revised 2022
- Last updated
- 2022
- Type
- appropriateness
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CurrentDachverband Osteologie (DVO) (AWMF)Germany / Austria / Switzerland
S3-Leitlinie Prophylaxe, Diagnostik und Therapie der Osteoporose bei postmenopausalen Frauen und bei Männern ab dem 50. Lebensjahr (DVO, AWMF 183-001)
Postmenopausal women and men aged 50 and over.
Details
- Version
- DVO 2023, version 2.1
- Last updated
- 2023 (validity extended per AWMF file name 'verlaengert')
- Type
- guideline
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CurrentDGOU / DWG with 17 further organisations (AWMF)Germany
S2k-Leitlinie Diagnostik und Therapie osteoporotischer thorakolumbaler Wirbelfrakturen (AWMF 187-063)
Adults with osteoporotic thoracolumbar vertebral fractures.
Details
- Version
- 2025-04-15
- Last updated
- 2025-04-15
- Next review
- valid until 2030-04-14
- Type
- guideline
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CurrentNational Osteoporosis Guideline Group (NOGG)UK
NOGG 2024: Clinical guideline for the prevention and treatment of osteoporosis
Postmenopausal women and men over 50 at risk of fragility fracture.
Details
- Version
- 2024
- Last updated
- 2024-12
- Type
- guideline
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CurrentNICEUK (England)
Osteoporosis: assessing the risk of fragility fracture (CG146)
Adults at risk of fragility fracture; risk assessment only.
Details
- Version
- 2012 (CG146)
- Last updated
- 2019-08 (minor change)
- Type
- guideline
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CurrentNICEUK (England)
Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for treating osteoporotic vertebral compression fractures (TA279)
People with osteoporotic vertebral compression fractures and severe ongoing pain.
Details
- Version
- 2013 (TA279, technology appraisal)
- Last updated
- not stated on fetched page
- Type
- guideline
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CurrentNorth American Spine Society (NASS)USA / International
NASS Clinical Guideline for the Diagnosis and Treatment of Adults with Osteoporotic Vertebral Compression FracturesNew · week 1
Adults with osteoporotic vertebral compression fractures, excluding cervical, traumatic, infective, tumour-related and post-surgical fractures.
Details
- Version
- 2024 (literature to September 2020)
- Last updated
- 2024
- Type
- guideline
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CurrentSIGNUK (Scotland)
Management of osteoporosis and the prevention of fragility fractures (SIGN 142)
Adults with or at risk of osteoporosis and fragility fracture, including vertebral fracture.
Details
- Version
- 2015, revised 2021 (SIGN 142)
- Last updated
- 2021
- Type
- guideline
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Perioperative6
CurrentERAS SocietyInternational
Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS) Society recommendations
Adults undergoing elective lumbar spinal fusion. Open-access repository copy.
Details
- Version
- 2021 (Spine J 21(5):729-752)
- Last updated
- 2021
- Type
- consensus
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CurrentNICEUK (England)
Surgical site infections: prevention and treatment (NG125)
All people undergoing surgery with a skin incision.
Details
- Version
- 2019 (NG125; replaced CG74, 2008)
- Last updated
- 2019-08 per fetched update page
- Type
- guideline
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CurrentNICEUK (England)
Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (NG89)
Adults in hospital, including elective spinal surgery and spinal injury sections.
Details
- Version
- 2018 (NG89)
- Last updated
- 2025-09 (minor changes to risk-assessment recommendations)
- Type
- guideline
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CurrentNorth American Spine Society (NASS)USA / International
NASS Clinical Guideline for Antithrombotic Therapies in Adults Undergoing Spine Surgery (second edition)New · week 1
Adults undergoing elective spine surgery; updates the 2009 NASS antithrombotic guideline.
Details
- Version
- 2025 (second edition; literature to March 2021)
- Last updated
- 2025
- Type
- guideline
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CurrentNorth American Spine Society (NASS)USA / International
NASS Evidence-Based Clinical Guideline: Antibiotic Prophylaxis in Spine Surgery
Adults undergoing spine surgery.
Details
- Version
- Revised 2013
- Last updated
- 2013
- Type
- guideline
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SupersededNorth American Spine Society (NASS)USA / International
NASS Evidence-Based Clinical Guideline: Antithrombotic Therapies in Spine Surgery
Adults undergoing spine surgery; replaced by the NASS second edition (2025).
Details
- Version
- 2009
- Last updated
- 2009
- Type
- guideline
- Replaced by
- NASS Clinical Guideline for Antithrombotic Therapies in Adults Undergoing Spine Surgery (second edition)
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Pain & conservative care6
CurrentHaute Autorité de Santé (HAS)France
Prise en charge du patient présentant une lombalgie commune
Adults with common (non-specific) low back pain, acute or at risk of chronicity.
Details
- Version
- 2019-04-04 (validated 2019-03-27)
- Type
- guideline
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CurrentNICEUK (England)
Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain (NG193)
People over 16 with chronic pain; low back pain and sciatica are referred to NG59.
Details
- Version
- 2021 (NG193)
- Last updated
- 2022-04 (link changes)
- Type
- guideline
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CurrentSIGNUK (Scotland)
Management of chronic pain (SIGN 173)
Adults with chronic non-malignant pain in non-specialist settings.
Details
- Version
- 2025 (SIGN 173)
- Last updated
- 2025
- Type
- guideline
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CurrentWorld Health OrganizationInternational
WHO guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings
Adults, including older people, with chronic primary low back pain; excludes surgical and invasive interventions.
Details
- Version
- 2023-12-07
- Last updated
- 2023-12-07
- Type
- guideline
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SupersededSIGNUK (Scotland)
Management of chronic pain (SIGN 136)
Adults with chronic non-malignant pain (archived).
Details
- Version
- 2013, revised 2019 (SIGN 136)
- Last updated
- 2019
- Type
- guideline
- Replaced by
- SIGN 173 (2025)
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Under reviewÄZQ / BÄK / KBV / AWMF (Programm für Nationale VersorgungsLeitlinien)Germany
Nationale VersorgungsLeitlinie Nicht-spezifischer Kreuzschmerz
Adults with non-specific low back pain. Page states the guideline is no longer valid and is being revised.
Details
- Version
- 2nd edition (2017; archived versions available)
- Last updated
- web page modified 2026-02-23
- Type
- guideline
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Imaging4
CurrentAmerican College of RadiologyUSA
ACR Appropriateness Criteria: Acute Spinal Trauma
Patients aged 16 and over with acute spinal trauma (cervical, thoracic, lumbar).
Details
- Version
- Revised 2024 (journal publication 2025)
- Last updated
- 2024 (page label)
- Type
- appropriateness
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CurrentAmerican College of RadiologyUSA
ACR Appropriateness Criteria: Cervical Pain or Cervical Radiculopathy
Adults with neck pain or cervical radiculopathy.
Details
- Version
- Revised 2024
- Last updated
- 2024
- Type
- appropriateness
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CurrentAmerican College of RadiologyUSA
ACR Appropriateness Criteria: Myelopathy
Adults with suspected myelopathy of any cause.
Details
- Version
- Revised 2026
- Last updated
- 2026
- Type
- appropriateness
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CurrentAmerican College of Radiology (Expert Panel on Neurological Imaging)USA
ACR Appropriateness Criteria: Low Back Pain
Adults with low back pain, with or without radiculopathy, by clinical variant.
Details
- Version
- 2021
- Last updated
- 2021 (page label)
- Type
- appropriateness
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How we compile this page
Each month we screen NICE, SIGN, AWMF, HAS, the Dutch guideline database, NASS, AANS/CNS, AO Spine, the WFNS Spine Committee, ACR, EANS, SOSORT and other national and specialist bodies for new, updated, superseded and withdrawn spine guidelines. New items appear under Recently added or updated and join the library. Superseded versions stay listed, marked in red, with what replaced them. NICE has renamed some interventional procedures guidance as HealthTech guidance; both numbers are given.