This handbook is a concise, compact guide on key principles of spine surgical knowledge — from the atlanto-occipital joint to the coccyx. It provides both professionals and medical trainees with user-friendly, insightful text gleaned from the hands-on insights of seasoned spinal surgeons. Core fundamentals cover spine anatomy, clinical evaluations, spine imaging, diagnostic spine tests, and select spine procedures. Common surgical approaches are delineated in succinct bulleted text, accompanied by case studies and radiographic pathology. This format is conducive to learning and provides an ideal spine surgery review for medical students, postgraduate trainees participating in spine rotations, and residents.