The August 2026 Spine Roundup 360 looks at: AO Spine Clinical Practice Recommendations: an overview of the current state of fusion surgery for patients with spinal metastasis; Association between BMI Z-score and postoperative complications in paediatric neuromuscular scoliosis surgery; Nationwide and regional trends in surgical outcomes after posterior lumbar interbody fusion over an 11-year period; Impact of frailty on surgical outcomes in degenerative cervical myelopathy: a systematic review and meta-analysis; The HBA-3 score: a simple bedside tool to predict cage subsidence after transforaminal interbody fusion; Modified anterior long-segment fixation versus posterior and combined approaches for subaxial cervical fractures in ankylosing spondylitis.