title: Spinal disorders, quality-based healthcare and spinal registers
abstract: In this issue of Acta Orthopaedica 2 articles (Clement et al. 2015, van Hooff et al. 2015) represent waymarks on a road towards a conception of universal value-based healthcare for spine. This goal is expected to be a convergence of the interests of patients, payers, politicians and clinicians. The articles are focused on the painful lumbar spine, which represent the top ranking chronic healthcare complaint (Vos et al. 2012). Clinicians’ interest in quality dates back to Florence Nightingale in 
journal: Acta Orthopaedica