Ed Benzel Cleveland Spine Review: Hands-On 2025 is a comprehensive course utilizing the cadaver laboratory and didactic sessions with ample time for discussion. This intensive course emphasizes the fundamentals of spine surgery, particularly biomechanical considerations, and the surgery decision-making process. Through intensive, hands-on sessions utilizing cadavers, participants study surgical techniques and strategies for a range of procedures including occipitocervical, cervical, thoracic, and lumbar fixation techniques. Complex surgical exposures in all regions of the spine are emphasized. Led by experienced faculty, the course examines the multiple adjuncts to surgery, including soft tissue and bone retractors and distractors, minimally invasive surgical techniques, spinal implants (from multiple vendors), and dissection tools. Non-operative strategies are also emphasized. Significant time is dedicated to operative indication discussions. The problem based decision-making process is introduced and emphasized during these very interactive discussions.