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The wrestler starts by facing his or her opponent. He or she then grabs the opponent around the waist, lifts him or her up, and tosses him or her forward on to his or her back or slams him or her down while standing on top of him or her. It is usually performed against a charging opponent, using the opponent's own momentum to make the throw more powerful.

Double leg slam[]

Also known as the Alabama Slam or the Water-wheel Slam, this variation of the spinebuster starts with the wrestler facing his opponent. The wrestler catches and grabs the opponent from either his waist or both legs, and lifts the opponent so he would either face the mat while being vertically elevated off the mat (with both his legs grabbed over the wrestler's shoulders) or literally facing the wrestler's back while being lifted upside down with the wrestler still taking hold of both the opponent's legs (back-to-belly position). The wrestler then tosses the opponent overhead by throwing both the opponent's legs forward, slamming the opponent back-first. A sitout or inverted version is also possible.

Lifting spinebuster[]

This variation of the spinebuster sees the attacker grabbing the opponent around the waist, lifting them up, and tossing them forward without landing on the top of the opponent. There also exists another variation of this move, which is called the Thrust Spinebuster in which an attacking wrestler stands besides his or her opponent, grabs the waist of his opponent, as in a side slam position and then hooks the opponent's leg with his or her free arm, and then lift him or her up before slamming the opponent down to the mat.

Spinning spinebuster[]

This version of a spinebuster sees the wrestler lifting the opponent, turning 180°, and then tossing him or her forward on to his or her back or slam him or her down while landing on top of him or her. It is also usually performed against a charging opponent, using the opponent's own momentum to make the throw more powerful.

Sitout spinebuster[]

Also known as Rydeen Bomb, this is the sitout variation of the original spinebuster. The wrestler starts by facing his opponent. He then grabs the opponent around the waist or under the arms, lifts him up, and tosses him forward on to his back or slams him down while dropping to a seated position. The wrestler hangs on to the opponents legs for a pin-fall attempt. A slight variation is the sitout side slam spinebuster where the opponent is lifted like a side slam but dropped into a sitout spinebuster.

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