The American Spine Registry (ASR) is a collaborative effort of the American Association of Neurological Surgeons (AANS) and the American Academy of Orthopaedic Surgeons (AAOS) on a national quality improvement registry for spine care. Both organizations have joint ownership and leadership representation in this effort. The ASR will transform the Quality Outcomes Database (QOD) Spine Registry, currently the nation’s largest spine Registry, into a more far-reaching program that facilitates the participation of all North American spine surgeons in a shared, quality data-collection platform.