Giuseppe Costanzo, Bernardo Misaggi, Luca Ricciardi, Sami I. AlEissa, Koji Tamai, Fahad Alhelal, Yahya Alqahtani, Hana I. Alsobayel, Markus Arand, Massimo Balsano, Thomas R. Blattert, Marco Brayda-Bruno, Jamiu O. Busari, Marco Campello, Harvinder S. Chhabra, Francesco Ciro Tamburrelli, Pierre Côté, Bambang Darwono, Frank Kandziora, Giovanni A. La Maida, Eric J. Muehlbauer, Raghava D. Mulukutla, Paulo Pereira, Shanmuganathan Rajasekaran, Dominique A. Rothenfluh, William J. Sullivan, Eeric Truumees, Edward J. Dohring, Tim Pigott, Ajoy P. Shetty, Marco G. A. Teli, Jeffrey C. Wang, Christopher Ames, Johannes R. Anema, Anand Bang, Kenneth M. C. Cheung, Douglas P. Gross, Scott Haldeman, Salvatore Minisola, Rajani Mullerpatan, Stefano Negrini, Louis-Rachid Salmi, M. Silvia Spinelli, Adriaan Vlok, Kwadwo P. Yankey, Fabio Zaina, Ahmed Alturkistany, Jörg Franke, Ulf R. Liljenqvist, Michael Piccirillo, Margareta Nordin

April 2022, pp 1 - 10 Review Article Read Full Article 10.1007/s00586-022-07194-y

First Online: 07 April 2022


The focus of SPINE20 is to develop evidence-based policy recommendations for the G20 countries to work with governments to reduce the burden of spine disease, and disability.


On September 17–18, 2021, SPINE20 held its annual meeting in Rome, Italy. Prior to the meeting, the SPINE20 created six proposed recommendations. These recommendations were uploaded to the SPINE20 website 10 days before the meeting and opened to the public for comments. The recommendations were discussed at the meeting allowing the participants to object and provide comments.


In total, 27 societies endorsed the following recommendations. SPINE20 calls upon the G20 countries: (1) to expand telehealth for the access to spine care, especially in light of the current situation with COVID-19. (2) To adopt value-based interprofessional spine care as an approach to improve patient outcomes and reduce disability. (3) To facilitate access and invest in the development of a competent rehabilitation workforce to reduce the burden of disability related to spine disorders. (4) To adopt a strategy to promote daily physical activity and exercises among the elderly population to maintain an active and independent life with a healthy spine, particularly after COVID-19 pandemic. (5) To engage in capacity building with emerging countries and underserved communities for the benefit of spine patients. (6) To promote strategies to transfer evidence-based advances into patient benefit through effective implementation processes.


SPINE20’s initiatives will make governments and decision makers aware of efforts to reduce needless suffering from disabling spine pain through education that can be instituted across the globe.

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