LLR Policy for Surgical Intervention for Low Back Pain

November 10, 2023

Category

Threshold Criteria

Eligibility

The LLR ICB will only fund the following in accordance with the NICE Guidance (NG59)

Spinal Decompression

For people with radicular/ neuropathic pain when non-surgical treatment has not improved pain or function

AND

Radiological findings are consistent with radicular/ neuropathic symptoms

Spinal Fusion

For people with radicular pain and instability/structural problems

NOT ROUTINELY FUNDED for people with non-radicular back pain

Disc Replacement

NOT ROUTINELY FUNDED for people with non-radicular back pain

Guidance

https://www.nice.org.uk/guidance/ng59/chapter/Recommendations

ARP 66 Review Date:2026

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