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Subsequent to GBD publications, leadership of the four largest global spine societies agreed to form SPINE20. This article introduces the concept of SPINE20, the recommendations, and the future of this global advocacy group linked to G20 annual summits.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The founders of SPINE20 advocacy group coordinated with G20 Saudi Arabia to conduct the SPINE20 summit in 2020. The summit was intended to promote evidence-based recommendations to use the most reliable information from high-level research. Eight areas of importance to mitigate spine disorders were identified through a voting process of the participating societies. Twelve recommendations were discussed and vetted.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The areas of immediate concern were \u201cAging spine,\u201d \u201cFuture of spine care,\u201d \u201cSpinal cord injuries,\u201d \u201cChildren and adolescent spine,\u201d \u201cSpine-related disability,\u201d \u201cSpine Educational Standards,\u201d \u201cPatient safety,\u201d and \u201cBurden on economy.\u201d Twelve recommendations were created and endorsed by 31\/33 spine societies and 2 journals globally during a vetted process through the SPINE20.org website and during the virtual inaugural meeting November 10\u201311, 2020 held from the G20 platform.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This is the first time that international spine societies have joined to support actions to mitigate the burden of spine disorders across the globe. SPINE20 seeks to change awareness and treatment of spine pain by supporting local projects that implement value-based practices with healthcare policies that are culturally sensitive based on scientific evidence.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-021-06890-5","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T07:05:49Z","timestamp":1623222349000},"page":"2091-2101","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["SPINE20 A global advocacy group promoting evidence-based spine care of value"],"prefix":"10.1007","volume":"30","author":[{"given":"Sami I.","family":"AlEissa","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1467-2599","authenticated-orcid":false,"given":"Koji","family":"Tamai","sequence":"additional","affiliation":[]},{"given":"Faisal","family":"Konbaz","sequence":"additional","affiliation":[]},{"given":"Ahmed","family":"Alturkistany","sequence":"additional","affiliation":[]},{"given":"Thomas R.","family":"Blattert","sequence":"additional","affiliation":[]},{"given":"Harvinder S.","family":"Chhabra","sequence":"additional","affiliation":[]},{"given":"Giuseppe","family":"Costanzo","sequence":"additional","affiliation":[]},{"given":"Edward J.","family":"Dohring","sequence":"additional","affiliation":[]},{"given":"Frank","family":"Kandziora","sequence":"additional","affiliation":[]},{"given":"Ralph","family":"Kothe","sequence":"additional","affiliation":[]},{"given":"Bernardo","family":"Misaggi","sequence":"additional","affiliation":[]},{"given":"Eric J.","family":"Muehlbauer","sequence":"additional","affiliation":[]},{"given":"Paulo","family":"Pereira","sequence":"additional","affiliation":[]},{"given":"Shanmuganathan","family":"Rajasekaran","sequence":"additional","affiliation":[]},{"given":"William J.","family":"Sullivan","sequence":"additional","affiliation":[]},{"given":"Eeric","family":"Truumees","sequence":"additional","affiliation":[]},{"given":"Yahya","family":"Alqahtani","sequence":"additional","affiliation":[]},{"given":"Hana I.","family":"Alsobayel","sequence":"additional","affiliation":[]},{"given":"Joerg","family":"Franke","sequence":"additional","affiliation":[]},{"given":"Marco G. 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