SPINE20 recommendations 2025: Sustainable spine care for all

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.

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Publication Details

Journal
Brain and Spine
Published
2025-12-06
DOI
https://doi.org/10.1016/j.bas.2025.105886
Primary Topic
Musculoskeletal pain and rehabilitation
Type
article
Field-Weighted Citation Impact
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SPINE20 recommendations 2025: Sustainable spine care for all

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Brain and Spine
Musculoskeletal pain and rehabilitation
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SPINE20 recommendations 2025: Sustainable spine care for all

Marcelo Ítalo Risso Neto, Alexandre Fogaça Cristante, Giuseppe Costanzo, Carlos Tucci, Ratko Yurac, Scott Haldeman, Karsten Wiechert, Kazuya Kitamura, Harvinder Singh Chhabra, Paulo Pereira, Lisa Roberts, Sami Aleissa, André Bussières, Pierre Côté, Adriaan Vlok, Cristiano Magalhães Menezes, Luciano Miller Reis Rodrigues, Suhail Saad Alassiri, Marco Campello, Jörg Franke, Robert Dunn, Koji Tamai, Hana Alsobayel, Bambang Darwono, Carlo Ruosi, François Theron, Quinette Abegail Louw, Robert Meves, Michael Piccirillo, Jérémie Larouche, Andre Luis Fernandes Andújar, Eric J. Muehlbauer, Komal Kamra, Sanjay Wadhwa, Thomas R. Blattert, Luís Eduardo Carelli, Mufudzi Chihambakwe, Johan G. Van Lerbeirghe, Bridget Bromfield, Danella Lubbe, Almero Oosthuizen
article en

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.

Brain and SpineVol. 6
Universidade Federal de Minas Gerais (BR), Western Cape Department of Health (ZA), Universidad del Desarrollo (CL), University of Calgary (CA), Durban University of Technology (ZA), Universidade de São Paulo (BR), Universidade Estadual de Campinas (UNICAMP) (BR), King Saud bin Abdulaziz University for Health Sciences (SA), University of California, Irvine (US), Stellenbosch University (ZA), Hospital Israelita Albert Einstein (BR), Santa Casa Hospital (BR), North American Spine Society (US), King Saud University (SA), Groote Schuur Hospital (ZA), King Abdulaziz Medical City (SA), Hospital de São João (PT), Irmandade da Santa Casa de Misericórdia de São Paulo (BR), Klinikum Magdeburg (DE), AZ Sint-Lucas (BE), Swiss Philanthropy Foundation (CH), Federico II University Hospital (IT), Klinikum Ingolstadt (DE), Centre for Disability Prevention and Rehabilitation (CA), Hospital Infantil Joana de Gusmão (BR), Rückenzentrum am Michel (DE), Canadian Chiropractic Association (CA), Instituto Nacional de Traumatologia e Ortopedia (BR), AZ Sint-Lucas (BE), University of Southampton (GB), Osaka Metropolitan University (JP), National Defense Medical College (JP), New York University (US), Université du Québec à Trois-Rivières (CA), All India Institute of Medical Sciences (IN), University of Pretoria (ZA), Tokyo Metropolitan University (JP), Sapienza University of Rome (IT)
Openalex Percentile: Top 58%
Musculoskeletal pain and rehabilitation
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