Primary Health Care: Open Access

Spinal fusion, additionally called spondylodesis or spondylosyndesis, is a neurosurgical or orthopedic surgical method that joins two or extra vertebrae. This manner may be completed at any level in the spine (cervical, thoracic, or lumbar) and prevents any movement between the fused vertebrae. there are numerous varieties of spinal fusion and each technique involves using bone grafting—either from the affected person (autograft), donor (allograft), or synthetic bone substitutes—to assist the bones heal collectively. extra hardware (screws, plates, or cages) is regularly used to maintain the bones in place even as the graft fuses the 2 vertebrae together. the location of hardware can be guided via fluoroscopy, navigation systems, or robotics. Spinal fusion is most commonly finished to alleviate the ache and strain on the spinal cord that outcomes when a disc (cartilage among  vertebrae) wears out (degenerative disc disorder).other not unusual pathological conditions which are treated by means of spinal fusion consist of spinal stenosis, spondylolisthesis, spondylosis, spinal fractures, scoliosis, and kyphosis To increase the visibility and ease of use of open access scientific and scholarly journals top online publishing journals are indexed in different indexing and archiving services. Indexing provides easy access of the article online. The top online publishing journals publish articles which are cited as references by many authors in their work. Citations are important for a journal to get impact factor. Impact factor is a measure reflecting the average number of citations to recent articles published in the journal. The impact of the journal is influenced by impact factor, the journals with high impact factor are considered more important than those with lower ones. Indexing provides easy access of the article online. The international journals are among the best open access journals in the world, set out to publish the most comprehensive, relevant and reliable information based on the current research and development on a variety of subjects. This information can be published in our peer reviewed journal with impact factors and are calculated using citations not only from research articles but also review articles (which tend to receive more citations), editorials, letters, meeting abstracts, short communications, and case reports. The inclusion of these publications provides the opportunity for editors and publishers to manipulate the ratio used to calculate the impact factor and try to increase their number rapidly. Impact factor plays a major role for the particular journal