This presentation will discuss the treatment of post-surgical continued spine pain patients starting with case studies and progressing through retrospective reviews and ending with the current prospective multi-practice IRB approved study at Keiser University. Learning Objectives: Improve their knowledge of the incidence, outcomes and sequela of spinal surgery. Attendees will learn about the clinical outcomes reported for the use of Cox Flexion Distraction for post-surgical spine conditions. A knowledge of current research, and the necessity of future research for a growing patient population will be provided. This presentation will discuss the treatment of post-surgical continued spine pain patients starting with case studies and progressing through retrospective reviews and ending with the current prospective multi-practice IRB approved study at Keiser University. Learning Objectives: Assess knowledge of the incidence, outcomes and sequela of spinal surgery. Identify clinical outcomes reported for the use of Cox Flexion Distraction for post-surgical spine conditions. Evaluate knowledge of current research, and the necessity of future research for a growing patient population will be provided.