Perspective of Value-Based Management of Spinal Disorders in Brazil.

Introduction: The state of value-based management of spinal disorders and ongoing Brazilian strategies toward its implementation are highlighted in this article.

Methods: The health care system, economic impact of spine surgery, use of patient-reported outcomes, ongoing studies about health economics, and current strategies toward implementation of quality assessment of spine care in Brazil are reviewed.

Results: During the past 20 years, there has been an increase of 226% in the number and 540% in the total cost of spine surgeries in the public health system.