Avaliação da dorsalgia

Last reviewed: 22 Sep 2025
Last updated: 10 Sep 2025

Summary

Differentials

Common

  • Torção/entorse muscular lombar
  • Núcleo pulposo herniado
  • Estenose da coluna vertebral
  • Fratura por compressão
  • Doença degenerativa do disco ou artropatia facetária
  • Sacroileíte
Full details

Uncommon

  • Síndrome da cauda equina
  • Compressão da medula espinhal
  • Espondilólise e/ou espondilolistese
  • Discite/osteomielite vertebral
  • Neoplasia maligna
  • Espondiloartropatia inflamatória
  • Doença do tecido conjuntivo
  • Escoliose
  • Aneurisma da aorta abdominal
  • Pancreatite aguda
  • Pielonefrite
  • Cólica renal
  • Úlcera péptica
  • Abscesso epidural espinhal
  • Infecção por herpes-zóster
  • Sangramento retroperitoneal
Full details

Contributors

Authors

Daniel K. Park, MD
Daniel K. Park

Professor

Department of Orthopedic Surgery

William Beaumont Hospital

Royal Oak

MI

Disclosures

DKP is a consultant for Stryker, Arthrex, Medynus, Orthofix, Atlas Spine, and Amplify.

Kern Singh, MD
Kern Singh

Professor

Department of Orthopedic Surgery

Rush University Medical Center

Chicago

IL

Disclosures

KS has received royalties from Zimmer, Stryker, RTI Surgical, Lippincott Williams & Wilkins, Thieme, Jaypee Publishing, and Slack Publishing. He holds stock in Avaz Surgical LLC, and Vital 5 LLC, has consulted for Depuy, Zimmer, K2M, and Stryker, is a board member of Vital 5 LLC, TDi LLC, Minimally Invasive Spine Study Group, is on the board of directors for CSRS, ISASS, AAOS, and is on the editorial board for Contemporary Spine Surgery and Orthopedics Today. KS has received a CSRS resident grant.

Acknowledgements

Dr Daniel K. Park and Dr Kern Singh would like to gratefully acknowledge Dr Howard S. An, a previous contributor to this topic.

Disclosures

HSA declares that he has no competing interests.

Peer reviewers

Eric L. Matteson, MD

Professor of Medicine

Mayo Clinic College of Medicine

Division of Rheumatology

Rochester

MN

Disclosures

ELM declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

National Institute for Health and Care Excellence. Low back pain and sciatica in over 16s: assessment and management. Dec 2020 [internet publication].Full text

American College of Radiology. ACR appropriateness criteria: low back pain. 2021 [internet publication].Full text  Abstract

American College of Radiology. ACR appropriateness criteria: acute spinal trauma. 2024 [internet publication].Full text

American College of Radiology. ACR appropriateness criteria: inflammatory back pain: known or suspected axial spondyloarthritis. 2021 [internet publication].Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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