Among all spinal diseases, spinal tumor is the one that most seriously affects the quality of life and poses a threat to life. Although spinal tumor accounts for only 6% to 10% of the bone tumors in the whole body, the incidence rate in the general population is about 2-3 per 100,000 people. Today, we are going to organize the questions frequently asked by patients and answer them in a unified way: How to treat spinal lesions? Many patients like to ask directly how to treat, but in fact, the most important thing is diagnosis, and correct diagnosis is a prerequisite for reasonable treatment. There are 50-60 types of spinal tumors in general, and ten common ones; in addition, spinal tumors are easily confused with spinal tuberculosis and infection. Diagnosis often requires a combination of clinical, imaging, and pathology, and cannot be made simple and clear. Can spinal tumors be removed? Surgical removal of general tumors is sufficient. But spinal tumors are often not this simple. A thorough examination is necessary to confirm the diagnosis and develop a comprehensive and reasonable treatment plan. The diagnosis of spinal tumors often requires joint consultation with orthopedics, radiology, and pathology to ensure correct diagnosis; treatment requires joint consultation with spinal surgery, radiotherapy, and other related departments. What about spinal tumor surgery? Surgery for spinal tumors is often a “one-time” operation. If the first surgery is not done properly, it will be difficult to remedy the situation afterwards. Curing a disease is similar to fighting a war. If you rush into surgery, it is like a “narrow battle” or a “big defeat”. Appropriate treatment requires a comprehensive analysis of the condition —- is like a comprehensive intelligence analysis; surgery is like fighting a battle – not fighting an unprepared battle. Why do we need a biopsy? Common tests are CT and MRI (local examination), some patients also need bone scan, PET-CT (whole body examination). These exams are like satellite images, where you can see the pattern but not the specifics. Most spinal tumors require biopsy before treatment. This is like mining, first you need to drill a well and detect it. What are the common spinal tumors? There are two major categories: primary spinal tumors and spinal metastases. Spinal metastases are tumors that do not originally grow in the spine but “run” from other sites. Common categories include: lung cancer, breast cancer, thyroid cancer, etc. Primary tumors of the spine are tumors that originally grow on the spine. Common types include: chordoma, giant cell tumor, osteoblastoma, hemangioma, etc. Are spinal tumors treated in the same way? No, this is not true. Treatment needs to be individualized according to the individual patient’s type of disease, age, and condition, and each patient with a spinal lesion is given a joint consultation to develop a personalized diagnosis and treatment plan. Is a metastasis “incurable” if it is advanced? Thirty years ago, when this was the case, it was generally recommended to give up. Nowadays, with the development of medical science, there is a new hope for people. Generally, breast cancer and thyroid cancer grow slowly, and even if metastases appear, they can be better controlled and survive for 3~5 years, or even 20~30 years. During this time orthopedic treatment can be simple treatment to effectively prevent or treat these dangerous conditions of fracture or paralysis.