Global Spine Care Initiative

The Global Spine Care Initiative (GSCI) is a research initiative of World Spine Care created to reduce  the global burden of disease and disability caused by spinal disorders by bringing together leading health care scientists and specialists, government agencies and other stakeholders to transform the delivery of spine care in underserved and low income communities worldwide. 

Spinal disorders are the fastest growing health problems in the world. Currently no global approach has been developed and tested that is likely to reduce the disability caused by spinal disorders. There is a real need for a comprehensive, cost-effective model of care that could be implemented by community and government health agencies. 


  • Describe the current global burden of disease of spinal disorders through a comprehensive review of the literature emphasizing the burden experienced by small communities and individuals

  • Identify the best practices that could be implemented and which are likely to effectively improve health-related quality of life and community burden of disease associated with spinal disorders

  • Define five communities with different levels of health care resources around the world and describe currently available spine care in these communities

  • Develop and define an evidence-based model of care that could be implemented in each of these five communities and be sustainable through the available health resources

  • Develop the methodology to measure the burden of disease associated with spinal disorders and the impact of implementing the proposed models of care on this burden

  • Transfer the new knowledge obtained through this study by publishing the deliberations and the models of care in a peer-reviewed journal 


The purpose of this initiative is to create a model of care which can be used to implement neck and back pain health in less fortunate communities around the world. 



To develope and evaluate innovative, integrated, models of care to improve the management of spinal disorders in populations with varying levels of access to care with the goal of reducing the global disability and burden of disease.









Phase 1 of the initiative is to create a comprehensive view of the current literature in this field. This phase will be completed by the creation of a model of care conjunctively written by the Executive Committee, Scientific Secretariat, and the Advisory Committee. Phases 2-5 in the initiative will implement the proposed models of care in fave selected communities around the world. 



Funded by the Skoll foundation ($200,000) and the National Chiropractic Mutual Insurance Company (NCMIC)


A series of 16 papers are available in open-access in the European Spine Journal

© Centre for Disability Prevention and Rehabilitation