Stereotactic and functional neurosurgery has experienced a remarkable
degree of development during the last 50 years, from the plaster of Pa
ris frame of Spiegel and Wycis to the technology of frameless stereota
xis. Although predominantly used for intracranial procedures, stereota
xy has its roots in experimental studies of the spinal cord. The field
of spinal cord stereotaxy has not received the same amount of attenti
on as supratentorial surgery, but there have been significant contribu
tions to the field that have helped to further our understanding of sp
inal cord anatomy and physiology. Now that frameless stereotaxis has r
eached clinical practice, there may be further developments in the fie
ld of spinal surgery: this technique may prove useful for spinal fusio
n operations and, possibly, intramedullary operations as well.