This book allows experienced spinal surgeons from throughout the world to share with the spine community this wealth of knowledge and experience. This book uses a case report format to illustrate the challenges, pitfalls, pearls and techniques encountered in the management of complex spinal disorders. Often case reports such as these do not get published in contemporary journals, but are worthy of being shared with everyone in the spine community who encounters these complex cases. We have made the format easy to read, avoiding the formal etiquette of extensive referenced background often encountered in traditional textbooks. Often, the techniques that are written in books become outdated before they are published. Our goal is to provide an avenue of publishing complex cases with great teaching points in a timely matter. We are planning to publish new editions every two years to keep the case management techniques current. The cases presented are not all successes which is one of the highlights of this book as it reflects real life scenarios encountered by busy spinal surgeons throughout the world. We hope you enjoy the book.