Eighty percent of the population will experience back pain at some stages of their life, some of those will end up having a catastrophic consequences, this would explain why Spine diseases are considered the major cause of disability globally and why it has the highest related cost in industrialized countries and emerging countries too. There is a definite need to improve spine care globally in order to decrease spine disabilities and costs. Advocacy, education and government policies are mandated.

SPINE20, an advocacy group founded in 2019, has been at the forefront of advocating policies to improve spine health globally. With over 30 partner societies from around the world, SPINE20 represents a diverse coalition united by a common goal: to alleviate the burden of spine disease and promote better spine care for all. After 4 successful consecutive meeting in Riyadh, Rome, Bali, and New Delhi, we gather again for the 5th Annual Summit of SPINE20, 9th and 10th August 2024, hosted in this dynamic city, Rio de Janeiro, we will embark on a journey of collaboration and innovation in spine care.

This year, SPINE20 theme, "Spinal Disability: Social Inclusion as a Key to Prevention and Management" underscores the importance of addressing spinal disorders through a lens of social equity. Spine disorders are a leading cause of disability worldwide, and it is imperative that we strive for inclusivity and accessibility in all aspects of spine care. Our discussions will center on ensuring that individuals with spinal disabilities have equal opportunities for education, community integration, and dignified treatment directly alongside non-disabled citizen.

Hosted by the Brazilian Spine Society, this summit promises an exceptional scientific program, curated by esteemed experts in spine care. Keynote speakers will provide invaluable insights, fostering collaboration and knowledge exchange on a global scale. On behalf of the Executive and Scientific Program Committees of SPINE20, I extend a heartfelt invitation to each and every one of you. Your expertise, insights, and passion are invaluable as we work together to shape the future of spine care. Join us in Rio de Janeiro this August, where the warmth of Brazilian hospitality awaits and where together, we will make strides towards a world where spine health knows no boundaries.