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LLR Policy for Surgical Intervention for Low Back Pain  

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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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4 responses

  1. How do I find a specialist to discuss my options for surgery for sciatica which I have had for 20 years and which is now started to severely impact my quality of life

    Reply

  2. How do I find a specialist to discuss my options for surgery for sciatica which I have had for 20 years and which is now started to severely impact my quality of life

    Reply

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