The fall issue of Vertebral Columns continues to build on the themes of past issues by focusing on clinically relevant content for spine surgeons everywhere. In this issue, contributors make the case for an integrated spine surgery residency, highlight findings regarding minimally invasive techniques for revision lumbar surgery, describe the use of alternative anesthetics, update readers on the use of interfacet spacers, outline minimally invasive approaches to spinal deformities, provide an update on live cellular allografts, and describe the evidence regarding the use of platelet rich plasma to manage discogenic pain.