Letter

NICE on back pain

A misreading of the evidence?

BMJ 2009; 339 doi: 10.1136/bmj.b2733 (Published 8 July 2009)
Cite this as: BMJ 2009;339:b2733

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  1. Stephen P Ward, consultant in pain medicine1
  1. 1Brighton and Sussex University Hospitals NHS Trust, Haywards Heath, West Sussex RH16 1UL
  1. drspward{at}yahoo.co.uk

    In their reply to rapid responses about the guideline from the National Institute for Health and Clinical Excellence (NICE) on persistent non-specific low back pain,1 Underwood and Littlejohns say that two systematic reviews report that spinal fusion is effective and informed the NICE low back pain guideline development group2; the group proposes referral for consideration of spinal fusion as an appropriate step in managing low …

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