In our spinal cord cavernous disease specialty, we can often see that the diagnosis of such a group of patients is very clear, firstly, there is spinal cord cavernous disease, and secondly, there is cerebellar tonsillar herniation malformation. It can be said that cerebellar tonsillar herniation is a congenital factor, while spinal cord cavernous disease is an acquired development. Why? Let’s make an analogy: just like a tree planted on a rocky ground, the roots of the tree are stuck and pressed by the rock, and in time the nutrients are not good, and then the heart of the tree is empty. So the disease has both innate and acquired causes, which is an important conclusion. Regarding the extent of the disease, according to the symptoms that appear. Hollow form and the onset of time our specialty through professional clinical scoring can be divided into categories, that is divided into early, middle and late, such as the emergence of muscle atrophy and weakness of such patients, mostly belong to the middle stage. The consequences of the development of weakness may be aggravated, eating, drinking, sleeping, washing and walking these daily self-care items need to be taken care of, although not everyone will develop to the degree of disability and paralysis, but the faster the development of the risk will be greater. There are several aspects of proper treatment that need to be done. First, we need to set a general direction, we should pay attention to it, and intervene as early as possible, as “waiting, relying, and procrastinating” will bring about the consequences of “heavy, big, and handicapped”. Secondly, the main content of the specific program is the correct surgical treatment combined with good rehabilitation and maintenance. Just like a hollow tree to deal with the stone pressed on the root, the root cultivation is good, without watering and fertilizing is certainly not; if not to protect the root cultivation soil, just watering and fertilizing can not moisten and nourish the body of the tree. So surgery should be combined with rehabilitation. Thirdly, in terms of the specific method, our surgery is minimally invasive, and the concept is positioned as a plastic repair, not just decompression and removal of normal structures, so it is a restorative surgery rather than destructive surgery. When it comes to the issue of surgical risk, we have a quantitative evaluation method and a series of safety measures, so we can achieve the two treatment goals of safety and effectiveness. In the past 5-6 years, among more than 2,000 cases of surgical experience, we have not had any safety problems, just like I fly the airplane and you take the airplane, we take off and land safely together, as long as we strictly follow the operating procedures and a series of safety control means, safety is technically guaranteed. On the question of efficacy, it can be said that: some symptoms may recover quickly after surgery, some symptoms may recover slowly, then you need to do a good job of rehabilitation and maintenance of such a process, specifically to learn and implement how to rest, how to nutrition, how to do Chinese medicine physical conditioning and how to contact us and so on, and so on, and finally summarize one sentence: a good way to treat spinal cord hollowing out disease is the right surgery plus good rehabilitation.