Publications by authors named "Norman Fisher-Jeffes"

Purpose: Spinal disorders, including back and neck pain, are major causes of disability, economic hardship, and morbidity, especially in underserved communities and low- and middle-income countries. Currently, there is no model of care to address this issue. This paper provides an overview of the papers from the Global Spine Care Initiative (GSCI), which was convened to develop an evidence-based, practical, and sustainable, spinal healthcare model for communities around the world with various levels of resources.

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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.

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Article Synopsis
  • Spine disorders significantly contribute to global disability and lack an effective care model, prompting the need for a new structured approach to spine care that encompasses various conditions like back pain and deformities.
  • The Global Spine Care Initiative (GSCI) developed this model through expert consensus from 66 specialists across 24 countries, outlining eight core principles such as being evidence-based and person-centered, along with a clear pathway for patient care.
  • The GSCI model includes a comprehensive six-step implementation plan aimed at making spine care better, particularly in low- and middle-income areas, focusing on sustainability and scalability for underserved communities.
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Only a minority of ependymomas present in the spinal cord. We report on a child with recurrence of a rare anaplastic clear cell type of ependymoma. This was initially misdiagnosed as a World Health Organization grade I myxopapillary ependymoma because this type of ependymoma occurs more commonly and the magnetic resonance imaging features and location at the conus medullaris were considered characteristic.

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