This annual update on spine surgery distills the latest evidence from the most cited articles and recent meeting proceedings. Despite the exponential growth of the spine surgery literature, there remains a scarcity of Level-I randomized controlled trials (RCTs) due to the challenges of blinded randomization in surgical specialties. With these limitations in mind, this review aims to identify impactful advancements and anticipate future trends in spine surgery. Additionally, recognizing our diverse readership, we aim to cover both surgical and nonsurgical management in this review.