Dr Maria Saeed, Dr. Sadam Hussain, Dr. Qura Tull Ain
Aim: The motivation behind our review is to determine the degree of evidence (LOE) of the dissemination of spine medicine, what is more, to contrast it with the level of world writing in spine medicine, and to decide the remainder of the academic development with that of the world-wide one. Methods: An internet search using "PubMed" and "Google Scholar" was conducted using search words associated with the spine medical practice, such as "Spine medical procedure," "Scoliosis," "Herniated plate." Our current research was conducted from May 2019 to February 2020. Each paper was analyzed and evaluated by two researchers using the Oxford Center for Evidence-Based Medicine Evidence Levels. Results: We distinguished 439 papers that met the requirements of incorporation; 57% were Level IV inquiries. Case accounts (43 per cent) became the most well-known method of inquiry. The number of nations with spine-medical distributions was 18. The country with the highest rate of dissemination was Egypt (29%). The number of transmitted exams rose from 156 in (2000–2008) to 287 in (2009–2015). Measurable essentiality occurs between high and low LOE publications (p = 0.0008). Conclusion: We have shown that LOE has not improved entirely over the last 17 years and that a large portion of the distributions is low LOE (levels III and IV). In this regard, we stress the need for spine specialists in the countries to perform higher LOE investigations. Keywords: spine, surgery, standards.