The Global Spine Care Initiative: methodology, contributors, and disclosures.


Claire D Johnson, National University of Health Sciences, Lombard, ILFollow
Scott Haldeman, University of California, Los AngelesFollow
Margareta Nordin, New York UniversityFollow
Roger Chou, Oregon Health and Science University, Portland, ORFollow
Pierre Côté, University of Ontario Institute of TechnologyFollow
Eric L Hurwitz, University of Hawaii, ManoaFollow
Bart N Green, National University of Health Sciences, Lombard, ILFollow
Deborah Kopansky-Giles, University of Toronto, Ontario, CanadaFollow
Kristi Randhawa, University of Ontario Institute of Technology, Oshawa, CanadaFollow
Christine Cedraschi, Geneva University Hospital, Geneva SwitzerlandFollow
Arthur Ameis, University of Montreal, Toronto, CanadaFollow
Emre Acaroğlu, ARTES Spine Center, Ankara TurkeyFollow
Ellen Aartun, Center for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Afua Adjei-Kwayisi, Ridge Regional Hospital, Accra, GhanaFollow
Selim Ayhan, Acibadem University, Ankara, TurkeyFollow
Amer Aziz, Ghurki Trust Teaching Hospital, Lahore Pakistan, Lahore, Punjab, PakistanFollow
Teresa Bas, Valencia University, Valencia, SpainFollow
Fiona Blyth, University of Sydney, Concord, NSW, AustraliaFollow
David Borenstein, George Washington University Medical Center, Potomac, MDFollow
O'Dane Brady, World Spine Care, Tampa, FLFollow
Peter Brooks, University of Melbourne, Toorak, Melbourne, VIC, AustraliaFollow
Connie Camilleri, St Michael’s Hospital, North York, ON, CanadaFollow
Juan M Castellote, University Complutense, Madrid, SpainFollow
Michael B Clay, Cincinnati Veterans Afairs Medical Center, Cincinnati, OHFollow
Fereydoun Davatchi, Tehran University of Medical Sciences, Tehran, IranFollow
Jean Dudler, Hospital Cantonal, Fribourg, FR, SwitzerlandFollow
Robert Dunn, University of Cape Town, Cape Town, Western Cape, South AfricaFollow
Stefan Eberspaecher, Princess Marina Hospital, Gaborone, BotswanaFollow
Juan Emmerich, University of La Plata, La Plata, Buenos Aires, ArgentinaFollow
Jean Pierre Farcy, Piermont, NY, USAFollow
Norman Fisher-Jeffes, Panorama Medi Clinic, Cape Town, Western Cape, South AfricaFollow
Christine Goertz, d The Spine Institute for Quality, Davenport, IAFollow
Michael Grevitt, Nottingham University Hospitals, Edwalton, Nottingham, UKFollow
Erin A Griffith, Emergency Medicine, Carlsbad, CAFollow
Najia Hajjaj-Hassouni, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MoroccoFollow
Jan Hartvigsen, University of Southern Denmark, Odense, DenmarkFollow
Maria Hondras, University of Kansas Medical Center, Kansas City, KSFollow
Edward J Kane, University of St. Augustine for Health SciencesFollow
Julie Laplante, University of Ottawa, Ottawa, ON, CanadaFollow
Nadège Lemeunier, Institut Franco-Européen de Chiropraxie, Toulouse, FranceFollow
John Mayer, 8 U.S. Spine and Sport Foundation, San Diego, CAFollow
Silvano Mior, Canadian Memorial Chiropractic College, Toronto, ON, CanadaFollow
Tiro Mmopelwa, Life Gaborone Hospital, Gaborone, BotswanaFollow
Michael Modic, Lerner College of Medicine, Cleveland, OHFollow
Jean Moss, Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, CanadaFollow
Rajani Mullerpatan, Mahatma Gandhi Mission Institute of Health Sciences, Maharashtra, IndiaFollow
Elijah Muteti, Moi University, Eldoret, KenyaFollow
Lillian Mwaniki, Law Society of Kenya, Nairobi, KenyaFollow
Madeleine Ngandeu-Singwe, University of Yaoundé I, Yaounde, Center Region, CameroonFollow
Geoff Outerbridge, Canadian Memorial Chiropractic College, Chelsea, QC, CanadaFollow
Shanmuganathan Rajasekaran, Ganga Hospital, Coimbatore, Tamilnadu, IndiaFollow
Heather Shearer, UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Matthew Smuck, Stanford University, Redwood City, CAFollow
Erkin Sönmez, Başkent University School of Medicine, Ankara, TurkeyFollow
Patricia Tavares, Canadian Memorial Chiropractic College, Toronto, ON, CanadaFollow
Anne Taylor-Vaisey, UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Carlos Torres, University of Ottawa, The Ottawa Hospital, Ottawa, ON, CanadaFollow
Paola Torres, Universidad Finis Terrae, Santiago, ChileFollow
Alexander van der Horst, University of Namibia, Windhoek, NamibiaFollow
Leslie Verville, University of Ontario Institute of Technology, Oshawa, CanadaFollow
Emiliano Vialle, Catholic University of Parana, Curitiba, Paraná, BrazilFollow
Gomatam Vijay Kumar, AMRI Hospitals, Salt Lake, Kolkata, West Bengal, IndiaFollow
Adriaan Vlok, University of Stellenbosch, Bellville, Western Cape, South AfricaFollow
William Watters, University of Texas Medical Branch, Galveston, TX, USAFollow
Chung Chek Wong, Sarawak General Hospital, Kuching, Sarawak, MalaysiaFollow
Jessica J Wong, UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, CanadaFollow
Hainan Yu, University of Ontario Institute of Technology, Oshawa, CanadaFollow
Selcen Yüksel, Ankara Yildirim Beyazit University Medical School, Ankara, TurkeyFollow

Document Type


Publication Date


Publication Title

European Spine Journal



Medical Subject Headings

Global Burden of Disease Musculoskeletal Diseases Spinal Diseases Delivery of Health Care Musculoskeletal System Quality of Health Care


PURPOSE: The purpose of this report is to describe the Global Spine Care Initiative (GSCI) contributors, disclosures, and methods for reporting transparency on the development of the recommendations.

METHODS: World Spine Care convened the GSCI to develop an evidence-based, practical, and sustainable healthcare model for spinal care. The initiative aims to improve the management, prevention, and public health for spine-related disorders worldwide; thus, global representation was essential. A series of meetings established the initiative's mission and goals. Electronic surveys collected contributorship and demographic information, and experiences with spinal conditions to better understand perceptions and potential biases that were contributing to the model of care.

RESULTS: Sixty-eight clinicians and scientists participated in the deliberations and are authors of one or more of the GSCI articles. Of these experts, 57 reported providing spine care in 34 countries, (i.e., low-, middle-, and high-income countries, as well as underserved communities in high-income countries.) The majority reported personally experiencing or having a close family member with one or more spinal concerns including: spine-related trauma or injury, spinal problems that required emergency or surgical intervention, spinal pain referred from non-spine sources, spinal deformity, spinal pathology or disease, neurological problems, and/or mild, moderate, or severe back or neck pain. There were no substantial reported conflicts of interest.

CONCLUSION: The GSCI participants have broad professional experience and wide international distribution with no discipline dominating the deliberations. The GSCI believes this set of papers has the potential to inform and improve spine care globally. These slides can be retrieved under Electronic Supplementary Material.




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Johnson CD, Haldeman S, Nordin M, Chou R, Côté P, Hurwitz EL, Green BN, Kopansky-Giles D, Randhawa K, Cedraschi C, Ameis A, Acaroğlu E, Aartun E, Adjei-Kwayisi A, Ayhan S, Aziz A, Bas T, Blyth F, Borenstein D, Brady O, Brooks P, Camilleri C, Castellote JM, Clay MB, Davatchi F, Dudler J, Dunn R, Eberspaecher S, Emmerich J, Farcy JP, Fisher-Jeffes N, Goertz C, Grevitt M, Griffith EA, Hajjaj-Hassouni N, Hartvigsen J, Hondras M, Kane EJ, Laplante J, Lemeunier N, Mayer J, Mior S, Mmopelwa T, Modic M, Moss J, Mullerpatan R, Muteti E, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Rajasekaran S, Shearer H, Smuck M, Sönmez E, Tavares P, Taylor-Vaisey A, Torres C, Torres P, van der Horst A, Verville L, Vialle E, Kumar GV, Vlok A, Watters W 3rd, Wong CC, Wong JJ, Yu H, Yüksel S. The Global Spine Care Initiative: methodology, contributors, and disclosures. Eur Spine J. 2018 Sep;27(Suppl 6):786-795. https://doi.org/10.1007/s00586-018-5723-9