Spinal conditions

NICE Pathways

Interactive topic-based flowcharts that allow you to navigate our recommendations on any subject. Find out more about NICE Pathways.

• Low back pain and sciatica

• Trauma

NICE guidelines

Evidence-based recommendations on a range of health and care topics. Find out more about NICE guidelines

• Low back pain and sciatica in over 16s: assessment and management (NG59)

  Id:

  NG59

  Published date:

  November 2016

• Spinal injury: assessment and initial management (NG41)

  Id:

  NG41

  Published date:

  February 2016

Technology appraisal guidance

Assessments of the clinical and cost effectiveness of health technologies (most commonly medicines, but also medical devices, procedures and diagnostic techniques). Find out more about Technology appraisals guidance.

• Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for treating osteoporotic vertebral compression fractures (TA279)

  Id:

  TA279

  Published date:

  April 2013

• TNF-alpha inhibitors for ankylosing spondylitis and non-radiographic axial spondyloarthritis (TA383)

  Id:

  TA383

  Published date:

  February 2016

Diagnostics guidance

Evaluation of innovative medical diagnostic technologies, allowing the NHS to adopt clinically and cost-effective technologies rapidly and consistently. Find out more about Diagnostics guidance.

• The EOS 2D/3D imaging system (DG1)

  Id:

  DG1

  Published date:

  October 2011

Interventional procedures guidance

Assessments of whether procedures are safe enough and work well enough for wider use in the NHS. Find out more about Interventional procedures guidance.

• Automated percutaneous mechanical lumbar discectomy (IPG141)

  Id:

  IPG141

  Published date:

  November 2005

• Direct C1 lateral mass screw for cervical spine stabilisation (IPG146)

  Id:

  IPG146

  Published date:

  December 2005

• Endoscopic laser foraminoplasty (IPG31)

  Id:

  IPG31

  Published date:

  December 2003

• Epiduroscopic lumbar discectomy through the sacral hiatus for sciatica (IPG570)

  Id:

  IPG570

  Published date:

  December 2016

• Insertion of an annular disc implant at lumbar discectomy (IPG506)

  Id:

  IPG506

  Published date:

  November 2014

• Interspinous distraction procedures for lumbar spinal stenosis causing neurogenic claudication (IPG365)

  Id:

  IPG365

  Published date:

  November 2010

• Intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure caused by high spinal cord injuries (IPG594)

  Id:

  IPG594

  Published date:

  September 2017

• Lateral interbody fusion in the lumbar spine for low back pain (IPG574)

  Id:

  IPG574

  Published date:

  February 2017

• Percutaneous coblation of the intervertebral disc for low back pain and sciatica (IPG543)

  Id:

  IPG543

  Published date:

  January 2016

• Percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica (IPG544)

  Id:

  IPG544

  Published date:

  January 2016

• Percutaneous endoscopic laser cervical discectomy (IPG303)

  Id:

  IPG303

  Published date:

  June 2009

• Percutaneous endoscopic laser thoracic discectomy (IPG61)

  Id:

  IPG61

  Published date:

  May 2004

• Percutaneous insertion of craniocaudal expandable implants for vertebral compression fracture (IPG568)

  Id:

  IPG568

  Published date:

  November 2016

• Percutaneous intradiscal laser ablation in the lumbar spine (IPG357)

  Id:

  IPG357

  Published date:

  September 2010

• Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain (IPG545)

  Id:

  IPG545

  Published date:

  January 2016

• Percutaneous transforaminal endoscopic lumbar discectomy for sciatica (IPG556)

  Id:

  IPG556

  Published date:

  April 2016

• Prosthetic intervertebral disc replacement in the cervical spine (IPG341)

  Id:

  IPG341

  Published date:

  May 2010

• Prosthetic intervertebral disc replacement in the lumbar spine (IPG306)

  Id:

  IPG306

  Published date:

  July 2009

• Therapeutic percutaneous image-guided aspiration of spinal cysts (IPG223)

  Id:

  IPG223

  Published date:

  June 2007

• Transaxial interbody lumbosacral fusion (IPG387)

  Id:

  IPG387

  Published date:

  March 2011

Medical technologies guidance

Recommendations about whether new medical devices and diagnostics should be adopted in place of current techniques. Find out more about Medical technologies guidance.

• The MAGEC system for spinal lengthening in children with scoliosis (MTG18)

  Id:

  MTG18

  Published date:

  June 2014

Medtech innovation briefings

Information on device and diagnostic technologies to help local decision-making. Find out more about Medtech innovation briefings (MIBs).

• Ekso exoskeleton for rehabilitation in people with neurological weakness or paralysis (MIB93)

  Id:

  MIB93

  Published date:

  January 2017

• Mobi-C for cervical disc replacement (MIB70)

  Id:

  MIB70

  Published date:

  June 2016

• Neo Pedicle Screw System for spinal fusion surgery (MIB108)

  Id:

  MIB108

  Published date:

  June 2017

• The PediGuard for placing pedicle screws in spinal surgery (MIB26)

  Id:

  MIB26

  Published date:

  March 2015

In development

• iFuse implant system for treating chronic sacroiliac joint pain

  New

  Yes

  Programme:

  Medical technologies guidance

  Expected publication date:

  October 2018

• Senza spinal cord stimulation to treat chronic back and leg pain after failed back surgery

  In consultation

  Yes

  New

  Yes

  Programme:

  Medical technologies guidance

  Expected publication date:

  September 2018

  Consultation ends:

  21 May 2018

New guidance and advice

Guidance and advice added since November 2017

• iFuse implant system for treating chronic sacroiliac joint pain

  New

  Yes

  Programme:

  Medical technologies guidance

  Expected publication date:

  October 2018

  Status:

  In development

• Senza spinal cord stimulation to treat chronic back and leg pain after failed back surgery

  In consultation

  Yes

  New

  Yes

  Programme:

  Medical technologies guidance

  Expected publication date:

  September 2018

  Status:

  In development

  Consultation ends:

  21 May 2018

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