Russell A. Hibbs (1869-1932) of the New York Orthopaedic Hospital and Fred H. Albee of New York Post Graduate Hospital both worked independently to develop a technic of spine fusion at about the same time. Both published reports in 1911. The judgment of time has discarded the Albee technic of a cortical tibial strut graft and developed the operation of posterior spine fusion on the basis of Hibbs' procedure. This reprint of Hibbs' first report in the New York Medical Journal of May 27, 1911 remains the classic in the field.