A New Partnership: The Need for Greater Collaboration and Integration

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Spine diagnoses are a major cause for pain and a leading cause of disability, and often life changing. Knowing that somewhere between two thirds and 80% of adults suffer from low back pain at some time in their life and that low back pain is second only to upper respiratory problems for visits to a doctor causes one to put into perspective how common spine-related symptoms are. Wide variations in care suggest professional uncertainty about the optimal approach to any specific case. In addition, there is evidence of “overdiagnosis” and possible “overtreatment” with more and more magnetic resonance imaging leading to more surgery for low back pain and all its related problems. Diagnostic acumen by history and physical examination is a dying art.
Return to work after an episode of low back pain and in many other illnesses is often influenced by not only the clinical situation but, social, and social-economic factors, are often the key determinants in predicting who gets better and goes back to work. Today, one must consider the overall social determinants of health, education, housing, economics, nutrition, and others, mostly unrelated to health care.
This kind of information sets the stage for needing more research and larger clinical studies to understand and improve upon the diagnosis and treatment of spine-related problems, including the cervical, thoracic, and lumbar spine, as well as congenital, traumatic, and degenerative conditions that in aggregate are responsible for most of the conditions for which patients seek treatment.
To that end, we wish to bring to you, from around the world, the most comprehensive information possible. We will collaborate to share manuscripts to find the best place for our authors and readers. This effort is an attempt to help all of us better understand how to better diagnose and better treat all spine maladies using the best evidence possible.
SPINE continues to be the leading journal in the world, and the most often referenced in the field. Over the last two and a half years, Clinical Spine Surgery (formerly the Journal of Spinal Disorders and Techniques), has undergone dramatic changes, such that it now is a single source that spinal care providers can turn to for narrative and systematic reviews of clinically relevant concepts, traditional articles describing surgical techniques accompanied by high-quality videos, high-level and clinically relevant research articles, as well as articles detailing how the changing business and political environment might affect patient care.
SPINE has continually maintained its place as the elite evidence-based, academic spine journal, publishing some of the most important articles in the pathophysiology of spinal pathology, clinically important biomechanical studies, and high-quality basic science, guidelines and clinical trials research.
In an effort to improve the accessibility of knowledge to spinal care providers around the world, the editors of SPINE and Clinical Spine Surgery are excited to announce our relationship as sister publications. Articles that are submitted to one journal, but that are not the correct fit for the specific journal, may be transferred and reviewed by the other journal without any extra steps by the authors. In addition, individual subscribers and institutions will have the ability to subscribe to both journals at a substantial discounted rate. Over the last decade, there has been a substantial increase in the number of journals and websites publishing articles pertinent for spinal care providers, such that it is now impossible for a busy clinician and researcher to be up to date on all evidence-based practices. Through the partnership of SPINE and Clinical Spine Surgery, both authors and readers can streamline their use of academic journals and have a single source for their clinical and academic needs.

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