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The Spine Journal

The Spine Journal (TSJ), the official journal of the North American Spine Society, is an international and multidisciplinary journal that publishes original, peer-reviewed articles on research and treatment related to the spine and spine care, including basic science and clinical investigations. It also publishes major reviews, technical notes, teaching editorials, special features, and letters to the Editor-in-Chief.

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Impact Factor 4.7
Quartile Q1
Open Access Type Hybrid
ISSN 1529-9430
eISSN 1878-1632
Invitation Only No
Cost Range USD 4880 excluding taxes for open access articles; no open access publication fee for subscription publication.

Submission Instructions

The Spine Journal accepts the following article types. Click on an article type to view submission instructions.

Controlled Trials

Cover Letter Cover Letter requirements are not specified.
Abstract An abstract is required. Abstract must not exceed 250 words. Abstract must be structured. Abstract must include the headings background context, purpose, design, patient sample, outcome measures, methods, results, and conclusions.
Manuscript Manuscript should be between 1500 and 4500 words. Manuscript must include 6 to 10 keywords in English and, if generative AI tools were used in manuscript preparation, a declaration statement in a new section before the references list.
References References must be cited in the text using numbers in square brackets and listed in the reference list in the order of first appearance.
Figures & Tables Tables must appear in the anonymized manuscript, while figures must be supplied as separate files. Tables must be submitted as editable text with captions and cited consecutively in the text, and figures must be cited in the text, numbered in order, and provided with captions.
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Observational Studies

Cover Letter Cover Letter requirements are not specified.
Abstract Abstract is required. Abstract must not exceed 250 words. Abstract must be structured. Abstract must include the headings background context, purpose, design, patient sample, outcome measures, methods, results, and conclusions.
Manuscript Manuscript should be between 1500 and 4500 words. If generative AI tools were used in manuscript preparation, a declaration statement must be included in a new section before the references list, and 6 to 10 English keywords must be provided.
References References must be cited with numbers in square brackets and listed in the reference list in the order they appear in the text.
Figures & Tables Tables must appear in the anonymized manuscript, while figures must be supplied as separate files. Tables must be editable text with captions and cited consecutively in the text, and figures must be cited in the text, numbered by order of appearance, and provided with captions.
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Diagnostic Test Studies

Cover Letter Cover Letter requirements are not specified.
Abstract Abstract is required. Abstract must not exceed 250 words. Abstract must be structured using eight required subheadings. Abstract must include the headings background context, purpose, design, patient sample, outcome measures, methods, results, and conclusions.
Manuscript Manuscript should be between 1500 and 4500 words. Manuscript must include 6 to 10 keywords in English and, if generative AI tools were used in manuscript preparation, a declaration statement in a new section before the references list.
References References must be cited using numbers in square brackets and listed in the reference list in the order of first appearance in the text.
Figures & Tables Tables must appear in the anonymized manuscript, while figures must be supplied as separate files. Tables must be submitted as editable text with captions and figures must be cited in the text, numbered in order, and accompanied by captions.
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Reliability And Agreement Studies

Cover Letter Cover Letter requirements are not specified.
Abstract A concise factual abstract is required. Abstract must not exceed 250 words. Abstract must be structured. Abstract must include the headings background context, purpose, design, patient sample, outcome measures, methods, results, and conclusions.
Manuscript Manuscript should be between 1500 and 4500 words. Manuscript must include 6 to 10 keywords in English, and if generative AI tools were used in manuscript preparation, a declaration statement must be added in a new section before the references list.
References References must be cited using numbers in square brackets and listed in the order in which they appear in the text.
Figures & Tables Tables must be included in the anonymized manuscript, while figures must be supplied as separate files. Tables must be submitted as editable text with captions and cited in the text, and figures must be cited in the text, numbered by order of appearance, and provided with captions.
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Cost-Effectiveness Studies

Cover Letter Cover Letter requirements are not specified.
Abstract Abstract is required. Abstract must not exceed 250 words. Abstract must be structured. Abstract must include the headings background context, purpose, design, patient sample, outcome measures, methods, results, and conclusions.
Manuscript Manuscript should be between 1500 and 4500 words. Manuscript should include the recommended elements from the ISPOR RCT-CEA Task Force report, include 6 to 10 keywords in English, and add a generative AI declaration section before the references if such tools were used.
References References must be cited using numbered citations in square brackets. Reference list entries must be numbered in the order they appear in the text and may use any consistent style or format at submission.
Figures & Tables Tables must be included in the anonymized manuscript, while figures and other artwork must be uploaded as separate files. Tables must be editable text with captions and cited consecutively in the text, and figures must each be cited, numbered in order, and accompanied by a caption.
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Systematic Reviews

Cover Letter Cover Letter requirements are not specified.
Abstract An abstract is required. Abstract must not exceed 250 words.
Manuscript The manuscript must include 6 to 10 keywords in English and, if generative AI tools were used in manuscript preparation, a declaration statement in a new section before the references list.
References References must be cited in the text using numbers in square brackets and listed in the reference list in the order of first appearance.
Figures & Tables Tables must appear in the anonymized manuscript, while figures and other artwork must be uploaded as separate files. Tables must be editable text with captions and cited consecutively in the text, and figures must each be submitted as separate files with captions and cited in the text in numerical order.
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Meta-Analyses

Cover Letter Cover Letter requirements are not specified.
Abstract An abstract is required. Abstract must not exceed 250 words.
Manuscript The manuscript must include 6 to 10 keywords in English and, if generative AI tools were used in manuscript preparation, a declaration statement in a new section before the references list.
References References must be cited using numbers in square brackets and listed in numerical order of appearance. Reference entries must include author names, source title, article or chapter title, year, and volume, article number, or pagination where applicable, and web references must also include the full URL and access date.
Figures & Tables Tables must be included in the anonymized manuscript, while figures and other artwork must be uploaded as separate files. Tables must be editable text with consecutive numbering and captions, and all figures and tables must be cited in the manuscript text with captions provided.
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Basic Science Papers

Cover Letter Cover Letter requirements are not specified.
Abstract A structured abstract is required. Abstract must not exceed 250 words. Abstract must be structured. Abstract must use the headings background context, purpose, study design, methods, results, conclusions, and clinical significance.
Manuscript Manuscript must include a Discussion section with a paragraph describing the potential clinical relevance of the research. Manuscript must include 6 to 10 keywords in English, and if generative AI tools were used a declaration statement must appear in a new section before the references list.
References References must be cited in the text using numbers in square brackets and listed in numerical order of appearance.
Figures & Tables Tables must be included in the anonymized manuscript, while figures and other artwork must be uploaded as separate files. Tables must be submitted as editable text with consecutive numbering and captions, and all figures and tables must be cited in the manuscript text.
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Narrative Review Articles

Cover Letter Cover Letter requirements are not specified.
Abstract An abstract is required. Abstract must not exceed 250 words. Abstract must be unstructured.
Manuscript Manuscript must include 20 to 30 pages of double-spaced text. If generative AI tools were used in manuscript preparation, a declaration statement must be included in a new section before the references list.
References Narrative Review Articles must include a minimum of 50 references. References must be cited in the text using numbers in square brackets and listed in the reference list in the order of appearance.
Figures & Tables Narrative Review Articles must include 3 to 5 explanatory tables. Tables must be included in the anonymized manuscript, while figures and other artwork must be uploaded as separate files. Tables must be submitted as editable text with captions and cited consecutively in the manuscript text.
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Uncontrolled Case Series

Cover Letter Cover Letter requirements are not specified.
Abstract A structured abstract is required. Abstract must not exceed 250 words. Abstract must be structured using eight subheadings. Abstract must include the headings background context, purpose, design, patient sample, outcome measures, methods, results, and conclusions.
Manuscript Manuscript should be between 1500 and 4500 words. Manuscript must include 6 to 10 keywords in English and, if generative AI tools were used in manuscript preparation, a declaration statement in a new section before the references list.
References References must be cited in the text using numbers in square brackets and listed in numerical order of first appearance.
Figures & Tables Tables must be included in the anonymized manuscript, while figures must be supplied as separate files. Tables must be submitted as editable text with captions and cited consecutively in the text, and figures must be cited in the text, numbered by order of appearance, and accompanied by captions.
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Research Letters

Cover Letter Cover Letter requirements are not specified.
Abstract Abstract must not be included.
Manuscript Manuscript must be no more than 700 words. Manuscript should include a short Introduction and use the headings Methods, Results, and Discussion. If generative AI tools were used in manuscript preparation, a declaration statement must be included in a new section before the references list.
References Reference list must contain no more than 10 references. References must be cited in the text using numbers in square brackets and listed in the order of first appearance.
Figures & Tables Submission may include only 1 or 2 figures and/or tables. Tables must be included in the anonymized manuscript, while figures must be supplied as separate files. Tables must be submitted as editable text with captions and cited consecutively in the text, and all figures must have captions and be cited in order in the text.
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Letters To The Editor (Correspondence)

Cover Letter Cover Letter requirements are not specified.
Abstract Abstract must not exceed 250 words.
Manuscript Letters to the Editor should be kept to 500 words. Letters to the Editor must be addressed "To the Editor." If generative AI tools were used in manuscript preparation, a declaration statement must be included in a new section before the references list.
References References must be cited in the text using numbers in square brackets and listed in numerical order of appearance.
Figures & Tables Tables must be included in the anonymized manuscript, while figures and other artwork must be uploaded as separate files. Tables must be submitted as editable text with captions and cited consecutively in the text, and figures must each have a caption, be cited in the text, and be numbered in order of appearance.
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Recent Publications

Rising Suspicion, Stable Disease: An Eight-Year Analysis of Suspected and Confirmed Cauda Equina Syndrome

Elie Najjar, Shahbaz Khan, Rawan Masarwa, Daniel D’Aquino, Michael Grevitt

10.1016/j.spinee.2026.06.003
View Publication

Minimal clinically important differences in the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0) in patients with symptomatic spinal metastases

A.L. Versteeg, A. Sahgal, I. Laufer, L.D. Rhines, D.M. Sciubba, J.M. Schuster, M.H. Weber, A. Lazary, S. Boriani, C. Bettegowda, M.G. Fehlings, M.J. Clarke, P.M. Arnold, Z.L. Gokaslan, O. Barzilai, N. Dea, A. Gasbarrini, C. Netzer, J.J. Reynolds, JJ. Verlaan, C.G. Fisher

10.1016/j.spinee.2026.05.007
View Publication

The Value of Recovery After Spinal Cord Injury: Long-Term Healthcare Costs in Relation to Home Time in a Population-Based Cohort

Christopher S Lozano, Vishwathsen Karthikeyan, Barbara Haas, Ning Liu, Karlo M. Pedro, Husain Shakil, Armaan K Malhotra, Jasleen Saini, Michael G Fehlings, Jefferson R Wilson

10.1016/j.spinee.2026.06.007
View Publication

When aging becomes degeneration: Evidence from Metabolomics of Healthy Age-stratified organ-donor and degenerated lumbar discs.

Shanmuganathan Rajasekaran, Chitraa Tangavel, Divya Arunachalam, Gnanaprakash Gurusamy, Sharon Miracle Nayagam, Arun Meena, Sri Vijay Anand

10.1016/j.spinee.2026.05.010
View Publication

Long-Term Outcomes of Sacral and Sacrococcygeal Chordomas: A 30-Year Single-Center Experience Comparing Three Treatment Modalities

Takashi Hirase, Jessica A. Lavery, Yoshiya Yamada, Mark H. Bilsky, Max Vaynrub, Patrick J. Boland

10.1016/j.spinee.2026.06.009
View Publication

Frequently asked questions

How long does it take to publish?

7 days from submission to first decision; 63 days from submission to decision after review; 137 days from submission to acceptance; 8 days from acceptance to online publication.

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What are the publication costs?

Open access APC: USD 4880 excluding taxes. Subscription publication has no open access publication fee.

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Research Topics

Spine and Intervertebral Disc Pathology Spinal Fractures and Fixation Techniques Cervical and Thoracic Myelopathy Scoliosis diagnosis and treatment Medical Imaging and Analysis Musculoskeletal pain and rehabilitation Pelvic and Acetabular Injuries Diverse Scientific and Economic Studies Management of metastatic bone disease Anesthesia and Pain Management Orthopaedic implants and arthroplasty Spinal Hematomas and Complications Human auditory perception and evaluation Educational Robotics and Engineering Infectious Diseases and Tuberculosis Cardiac, Anesthesia and Surgical Outcomes Hip and Femur Fractures Spinal Cord Injury Research Clinical practice guidelines implementation Ferroelectric and Negative Capacitance Devices Big Data and Digital Economy Bone health and osteoporosis research Health Systems, Economic Evaluations, Quality of Life Spinal Dysraphism and Malformations Orthopedic Infections and Treatments