This one-of-a-kind text describes the specific anatomy and neuromusculoskeletal relationships of the human spine, with special emphasis on structures affected by manual spinal techniques. A comprehensive review of the literature explores current research of spinal anatomy and neuroanatomy, bringing practical applications to basic science. A full chapter on surface anatomy includes tables for identifying vertebral levels of deeper anatomic structures, designed to assist with physical diagnosis and treatment of pathologies of the spine, as well as evaluation of MRI and CT scans. High-quality, full-color illustrations show fine anatomic detail. Red lines in the margins draw attention to items of clinical relevance, clearly relating anatomy to clinical care. Spinal dissection photographs, as well as MRIs and CTs, reinforce important anatomy concepts in a clinical context. Revisions to all chapters reflect an extensive review of current literature. New chapter on the pediatric spine discusses the unique anatomic changes that take place in the spine from birth through adulthood, as well as important clinical ramifications. Over 170 additional illustrations and photos enhance and support the new information covered in this edition.