Evidence map›Paper›PMID 41531887›Full record

ArticleBrain & spine2026

SPINE20 recommendations 2025: Sustainable spine care for all.

Adriaan J Vlok, Koji Tamai, Suhail S Alassiri, Thomas R Blattert, Marco A Campello, Robert N Dunn, Komal Kamra, Kazuya Kitamura, Lisa C Roberts, Carlo Ruosi and 31 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors.

Adriaan J VlokDepartment of Neurosurgery, University of Stellenbosch, Cape Town, South Africa.
Koji TamaiDepartment of Orthopaedic Surgery, Osaka Metropolitan University, Osaka, Japan.
Suhail S AlassiriDepartment of Orthopaedic Surgery, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Thomas R BlattertInterdisciplinary Spine Center, Klinikum Ingolstadt, Ingolstadt, Germany.
Marco A CampelloDepartment of Orthopaedic Surgery, NYU School of Medicine, New York, USA.
Robert N DunnDepartment of Orthopaedic Surgery, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.
Komal KamraThe Spinal Foundation, Delhi, India.
Kazuya KitamuraDepartment of Orthopaedic Surgery, National Defense Medical College, Saitama, Japan.
Lisa C RobertsSchool of Health Sciences, University of Southampton, Southampton, UK.
Carlo RuosiPublic Health Department, Federico II University Napoli, Napoli, Italy.
Francois D V TheronDepartment of Orthopaedic Surgery, University of Pretoria, Pretoria, South Africa.
Carlos TucciCEPPS-Centro de Estudos e Promoção de Pol'ıticas em Sa'ude, Einstein Hospital Israelita, Sao Paulo, Brazil.
Ratko YuracOrthopedic Department, Clinica Alemana, Universidad del desarrollo, Santiago, Chile.
Bridget BromfieldChiropractor, Chiropractic Association of South Africa, Centurion, South Africa.
Mufudzi ChihambakweDepartment of Chiropractic, Durban University of Technology, Durban, South Africa.
Quinette A LouwPhysiotherapy Department, Stellenbosch University, Cape Town, South Africa.
Danella LubbeChiropractic, Chiropractic Association of South Africa, Cape Town, South Africa.
Almero OosthuizenClinical Service Improvement, Western Cape Department of Health and Wellness, Cape Town, South Africa.
André BussièresDépartement chiropratique, Université du Québec à Trois-Rivières, Québec, Canada.
Harvinder S ChhabraSpine department, Sri Balaji Action Medical Institute, New Delhi, India.
Pierre CôtéInstitute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University, Ontario, Canada.
Giuseppe CostanzoOrthopedic department, Rome University Sapienza, Roma, Italy.
Bambang DarwonoDepartment of Orthopedic Surgery, Gading Pluit Hospital, Jakarta, Indonesia.
Scott HaldemanDepartment of Neurology, University of California, Irvine, CA, USA.
Jeremie S LaroucheOrthopaedic Department, University of Calgary, Calgary, Canada.
Eric J MuehlbauerExecutive Office, North American Spine Society, Chicago, USA.
Johan G Van LerbeirgheOrthopedic Department, AZ Sint Lucas Gent, Gent, Belgium.
Hana I AlsobayelDepartment of Rehabilitation Sciences, King Saud University, Riyadh, Saudi Arabia.
Joerg FrankeDepartment of Orthopedics, Klinikum Magdeburg gGmbH, Magdeburg, Germany.
Paulo PereiraNeurosurgery Department, University Hospital São João, Porto, Portugal.
Michael PiccirilloCentre for Philanthropy Development, Blackwell Foundation, Zürich, Switzerland.
Sanjay WadhwaDepartment of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, India.
Karsten WiechertComprehensive Pain Program, Michel Spine Center, Hamburg, Germany.
André L F AndújarPediatric Orthopedic Department, Hospital Infantil Joana de Gusmão, Florianópolis, Brazil.
Luis E CarelliSpine Center, National Institute of Traumatology and Orthopaedics - INTO, Rio de Janeiro, Brazil.
Alexandre F CristanteDepartment of Orthopedic Surgery, University of São Paulo, São Paulo, Brazil.
Cristiano M MenezesDepartment of Locomotor Apparatus, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Robert MevesOrthopedic Department, Santa Casa Spine Center, São Paulo, Brazil.
Luciano Mr RodriguesEinstein Hospital Israelita, São Paulo, Brazil.
Marcelo I Risso-NetSpine Surgery Division on Orthopedic Department, UNICAMP-Universidade Estadual de Campinas, Campinas, Brazil.
Sami AlEissaDepartment of Orthopedics, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spine disorders remain a leading cause of disability worldwide, affecting over 900 million people and creating profound social and economic burden. In response, SPINE20, a global alliance of 38 professional societies, presents its 2025 policy recommendations under the theme "Sustainable Spine Care for All". Main recommendation; SPINE20 recommends G20 countries to implement sustainable evidence-based spine care models drawing on successful global programs considering particularly registries, incentivized health targets and public-private partnerships. Focused on "Public health"; SPINE20 recommends G20 countries to integrate spine health into public health and primary care health policies by addressing the prevention and management of both communicable and non-communicable diseases, and strengthening public-private partnerships to achieve sustainable spine care. Focused on "Occupational Health & Safety Policy"; SPINE20 recommends that G20 countries implement evidence-informed, work-focused interventions that address employee and workforce factors early, to reduce the social and economic impact of work loss and increase employability for people with spine disorders. Focused on "Capacity Building"; SPINE20 recommends that G20 countries prioritize building capacity in spinal cord injury care by adopting evidence-based interventions such as the global initiatives supported by World Health Organization (WHO) in low- and middle-income countries and aligned with the WHO Rehabilitation 2030 Call to Action. This paper serves as a summary of the recommendations. The complete set of SPINE20 2025 Recommendations, which is available in SPINE20 official web-site (https://spine20.net), was officially presented to Provincial Minister of Health and Wellness, Western Cape Government, during the SPINE20 Summit 2025. An official communication from the Western Cape Ministry of Health and Wellness subsequently confirmed formal acknowledgment of receipt of the recommendations.

Indexed as

Capacity buildingOccupational health & safety policyPublic healthSPINE20Sustainability

Identifiers

PMID41531887
PMCPMC12794493

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.