With the development of comprehensive treatment for spinal cord spine tumors, surgery has become an important tool. Surgical treatment can relieve pain, maintain and improve patients’ neurological function, rebuild spinal stability, promote early postoperative recovery, and improve patients’ survival quality. However, spinal surgery is difficult, especially for intramedullary tumors and multiple spinal bone tumors, which are sometimes difficult to remove completely and still require adjuvant chemoradiotherapy and other follow-up treatments after surgery. The restoration of spinal stability after spinal tumor surgery is a necessary foundation before early functional rehabilitation. Patients without significant neurological deficits can sit up or move to the floor and perform rehabilitation training early, which can effectively prevent the occurrence of pulmonary and urinary infections, cardiovascular embolism and other adverse events caused by long-term bed rest, promote patients’ recovery and improve their quality of life. However, two special categories of patients should be treated differently, namely, those with simple spinal decompression without spinal reconstruction and those with significant postoperative neurological deficits, who need to be bedridden for a period of time or wait for neurological recovery before moving to the ground, with early rehabilitation mainly in the horizontal position. For postoperative rehabilitation of spinal cord tumor, it mainly includes two parts: rehabilitation after spinal cord injury and rehabilitation after spinal surgery. Rehabilitation after spinal cord injury The high rate of disability after spinal cord injury, including loss of labor force in mild cases and limb paralysis in severe cases, seriously affects the quality of survival of patients and brings a heavy burden to their families and society. There is no good way to cure the sequelae of spinal cord injury. Nowadays, comprehensive rehabilitation therapy has intervened in the acute and chronic phases of spinal cord injury. It mainly includes hyperbaric oxygen, Chinese physiotherapy and electrical stimulation therapy. Common therapies include the following: 1. Hyperbaric oxygen therapy: Hyperbaric oxygen can inhibit free radical-mediated lipid peroxidation, improve the antioxidant capacity of cell membrane lipid structures, protect spinal cord cells and tissue structures, improve blood oxygen dissolution coefficient and oxygen partial pressure, and increase blood oxygen content and blood oxygen tension. Hyperbaric oxygen therapy promotes the improvement of urinary and fecal function, sensory function and muscle strength in patients with spinal cord injury. In addition, hyperbaric oxygen therapy can enhance the spinal cord microcirculatory regulation function, reduce spinal cord hemorrhage and edema, can preserve more reversible neural tissue, which is beneficial to the recovery of spinal cord injury. 2, acupuncture therapy: early acupuncture treatment has the effect of relaxing the tendons and activating the joints, regulating the balance of Qi and blood in the internal organs, reducing and delaying the early pathological damage after injury, improving the microcirculation of the spinal cord, promoting the recovery of nerve function and nerve regeneration. Chinese medicine research shows that acupuncture acupuncture points can adjust muscle tone, relieve vascular spasm, dredge the Governor’s vein, improve the local nutritional status of the lesion, and promote the regeneration of damaged nerves, thus gradually restoring the function of paralyzed limbs. 3, Tui Na therapy: Tui Na is the treasure of Chinese traditional medicine, often used in the field of medical rehabilitation and health care around the world. Tui Na therapy takes skeletal muscle as the main operation site and effect target, which is conducive to the recovery of damaged tissues, promotes capillary dilation, enhances local skin muscle nutrient supply, inhibits fibroblast proliferation and muscle fiber degeneration, improves muscle contracture, and enhances muscle mobility. 4, electrical stimulation therapy: electrical stimulation can reduce secondary spinal cord injury, promote spinal cord nerve regeneration, relieve muscle spasm, inhibit muscle atrophy, and improve muscle morphology and function. Studies have shown that selective electrical stimulation of the sacral nerve root parasympathetic nerve can cause contraction of the bladder forced urinary muscle and contraction of the urethral sphincter to improve bladder function. In the early stages of spinal cord injury, electrical stimulation can effectively increase the activity of antioxidant enzymes, thus achieving protection of tissues from secondary damage by free radicals. Electrical stimulation can increase the amount of nerve growth factor and brain-derived nerve growth factor, which play an important role in the growth and differentiation of neurons, and play an important role in the repair of spinal cord injury, which can promote the regeneration of motor and sensory axons in the dorsal root ganglion of the spinal cord and increase the protective effect on neurons. Postoperative rehabilitation of spinal tumors is mainly aimed at rehabilitation after internal fixation (spinal stability has been reconstructed), which can be divided into the following five stages. The first stage (within one week after surgery): the general condition after surgery has been stabilized, for patients without obvious neurological dysfunction, early activity should be advocated. For paralyzed limbs early passive exercises and local massage should be carried out to prevent complications such as joint adhesions and muscle atrophy. Then start spinal dorsal extensor exercises, mainly active, supplemented by passive. First, simple transitional exercises such as chest raising and leg lifting, followed by 5-point support method exercises, supine position, head, elbows and heels of both feet 5 points to support the whole body, so that the back back extension, 50-100 times / day, the thoracolumbar section away from the bed 100px. The second stage (one to two weeks after surgery): the main use of 3-point support method, the patient to supine position, double forearms around the chest, with the soles of the two feet and the top of the head 3-point support, force contraction back extensors to make the trunk completely leave the bed, more than 30 times/day. The third stage (three to four weeks after surgery): adopt the full bridge back extension exercise method, patient supine position, both lower limbs bend knees, foot and head support weight, hands back extension over the top, the body completely propped up and vacated into an arch bridge, maintain a period of time after muscle relaxation, rest for a moment, 10-30 times / day, according to the patient’s endurance to increase the number of times and time. The fourth stage (five to six weeks after surgery): using the Feiyan dotted water method, the patient takes a prone position, the neck is extended backwards, the chest is lifted off the bed with a little force, the two upper limbs are extended dorsally, the two knees are straightened, the legs are lifted, the abdomen is used as the support point, and the body is cocked up and down. The fifth stage (seven weeks after surgery): sitting and standing exercise training, when you start to exercise standing, you can borrow a walker, pay attention to prevent falls, and then gradually use a double crutch or a single crutch. For those who have obvious neurological dysfunction after surgery, they should be bedridden for a period of time (about one and a half months) and carry out corresponding limb rehabilitation exercises in bed, and then try to exercise on the ground depending on the recovery situation. For patients with high paraplegia after postoperative rehabilitation of thoracolumbar tumor, walking exercise should be carried out with the help of walking aid and upper body swing and strong upper limb arm force. For patients with incomplete paralysis caused by low spinal cord spinal tumor, the recovery of muscle support force can be accelerated by supine flexion and extension of hip, knee and ankle exercises. Using the support of upper limbs and arms, the contraction of lumbar and back muscles and hip muscles can drive the lower limbs to restore the exercise, and after the patient is balanced at four points, he can gradually walk on his own with the help of crutches. In conclusion, the recovery of spinal cord nerve injury in spinal cord tumors is often slow, and long-term rehabilitation and exercise are often required.