Defining spine care: a framework for scope, standards, and bidirectional care transitions
Kai-Uwe Lewandrowski, Morgan P. Lorio, Friederike Schömig, Matthias Pumberger, Alexander R. Vaccaro · 2026
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Description
Kai-Uwe Lewandrowski and colleagues proposed in 2026 a shared plan for how spine care should be split among its many trades. Care today fragments among surgeons, pain doctors, therapists, and primary care, with fuzzy handoffs and drifting terms. Their plan grew from society statements, guidelines, and policy reviews.
Four parts anchor the design. First, clear role definitions assign who owns what: surgical care owns spine mechanics and rescue capacity, while non-surgical care runs goal-directed episodes with deadlines. Second, written triggers govern movement both ways, up to surgical review and back down when surgery is not the answer. Third, shared procedure language and follow-up rules standardize what teams promise and repeat. Fourth, borderline procedures with lasting effects on spine mechanics get joint oversight. The authors aim to cut low-value care and speed the right step-ups.
Catalog record
| CREATOR | Kai-Uwe Lewandrowski, Morgan P. Lorio, Friederike Schömig, Matthias Pumberger, Alexander R. Vaccaro |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 49 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |