In 1829, Alban Smith, a general surgeon known for performing the third ovariectomy in the United States, encountered a patient with a low cervical spinal cord injury after falling from a horse 2 years earlier. On examination, he discovered the spinous process was eccentric to the right. Intraoperatively, he observed bone fragments pressed into the spinal cord. Unaware that posterior cervical laminectomies were considered uniformly fatal by European surgeons after an unsuccessful attempt 15 years earlier, 1 Alban Smith, removed the lamina using a saw. 2 He performed the first successful laminectomy in 1,500 years. 3 A week later, the patient reported improved sensation in his hands and thighs. 1,2 Building on the work of Smith, Victor Horsley adapted the technique to perform the first successful spinal cord tumor resection in 1887. 4-6 In the early 1800s and 1900s, progress in spine surgery was measured. Surgical mortality approached 25% and the pathology treated by surgeons consisted of trauma, Pott's disease and correction of subsequent deformity (often through plaster casts). 7-13 In 1911, Frederick Albee, a surgeon practicing in New York City, devised a technique using bone grafts to perform spinal fusions in deformity related to Pott's disease. 10,14 The following year he invented the Albee Bone Mill greatly reducing surgical time, a significant feat given the anesthetic constraints of the time. By 1915, he published Bone Graft Surgery and dedicated a substantial portion of the text to the treatment of spinal pathology. 15 Craniospinal trauma in World War I, enabled Cushing and others to define the burgeoning field of neurosurgery. 9,16-19 Shortly after neurological surgery was declared a surgical specialty at the meeting of the American College of Surgeons in 1919, Harvey Cushing and Ernest Sachs established the Society of Neurological Surgeons (SNS). 20-22 The semiannual meetings of the newly formed society included operative clinics in the morning with a review of scientific literature in the afternoon. Given the inherent limitations of the meeting