How AOSpine works AOSpine International was established in June 2003. Since then, it operates under its own template of governance through the AOSpine International Board.
AOSpine International functions via a matrix structure of:
- Global Commissions
- Regional Boards
- Country Councils
AOSpine Global Commissions The commissions operate globally, but have no direct authority within a region. They aim to share expertise and leverage resources across the regions; ideally to help define, integrate, and implement coherent policies for the general good of the organization.
AOSpine Regional Boards AOSpine International consists of five regions: Asia Pacific, Europe, Latin America, Middle East, and North America. Each region has a Board with its own budget and is fully responsible for all of the region’s actions and activities, leading to quicker decision-making and ensuring all activities are relevant to the specific regional needs.
AOSpine Country Councils Within certain regions, the Regional Boards operate an integrated network of AOSpine Country Chapters, led by Country Councils. This provides even greater opportunities for local members to get involved, build, and strengthen the organization.
AOSpine International Board Structure

AOSpine Reporting and Collaboration

| Board: |
Holds strategic and operational decision-making capacity and budgetary control within its defined sphere of influence. |
| Commission: |
A global, fixed steering group with an open duration, subordinate to the AOSpine International Board. |
| Committtee: |
A regional, fixed steering group with an open duration, subordinate to the relevant AOSpine Regional Board. |
| Council: |
Administrative and decision-making unit of an AOSpine Country Chapter. It may or may not have budgetary control |
| Task Force: |
A team created for a specific project with a dedicated budget. It disbands once the project is completed. |
Boards, Commissions, and Councils are elected. Committees and Task Forces may be appointed.
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