SPINE20 recommendations 2023: One Earth, one family, one future WITHOUT spine DISABILITY

INTRODUCTION: The purpose is to report on the fourth set of recommendations developed by SPINE20 to advocate for evidence-based spine care globally under the theme of “One Earth, One Family, One Future WITHOUT Spine DISABILITY”. RESEARCH QUESTION: Not applicable. MATERIAL AND METHODS: Recommendations were developed and refined through two modified Delphi processes with international, multi-professional panels. RESULTS: Seven recommendations were delivered to the G20 countries calling them to: -. establish, prioritize and implement accessible National Spine Care Programs to improve spine care and health outcomes. -. eliminate structural barriers to accessing timely rehabilitation for spinal disorders to reduce poverty. -. implement cost-effective, evidence-based practice for digital transformation in spine care, to deliver self-management and prevention, evaluate practice and measure outcomes. -. monitor and reduce safety lapses in primary care including missed diagnoses of serious spine pathologies and risk factors for spinal disability and chronicity. -. develop, implement and evaluate standardization processes for spine care delivery systems tailored to individual and population health needs. -. ensure accessible and affordable quality care to persons with spine disorders, injuries and related disabilities throughout the lifespan. -. promote and facilitate healthy lifestyle choices (including physical activity, nutrition, smoking cessation) to improve spine wellness and health. DISCUSSION AND CONCLUSION: SPINE20 proposes that focusing on the recommendations would facilitate equitable access to health systems, affordable spine care delivered by a competent healthcare workforce, and education of persons with spine disorders, which will contribute to reducing spine disability, associated poverty, and increase productivity of the G20 nations.