Ask “spine” disease where to cure, people point to the provincial hospital! Spine Surgery Department, the joint efforts of all staff, the work of the achievements, under the leadership of Director Huang Xiangwang completed the difficult spinal deformity osteotomy orthopedics more than 20 cases, cervical anterior and posterior joint decompression cases, high occipitocervical fusion cases, etc., the discipline of the rapid development of the discipline in a comprehensive manner, and many patients also come to the provinces in search of patients. Zhao Cai and shanghuan vinegar hospital pyloric system of men mowing to cut the nasty cheek 74 years old, in July 2009 began to appear chest, lumbar back pain and numbness of the lower limbs, fatigue, urination difficulties, but the disease gradually aggravated by many medical treatment, can not walk on the ground, and is accompanied by respiratory difficulties, was introduced to January 2010 admitted to the hospital in the Department of Spine Surgery. After admission, Prof. Huang Xiangwang, director of the Department of Spine Surgery, personally examined Zhao Buxin Suhan Fu Mou ∈ Fei Shi, and found that the patient had obvious pressure pain and percussion pain in the lower thoracic and back regions, and weakened muscle strength and superficial sensation of the lower limbs, with pathologic signs (+). After completing various examinations and MRI, the patient was found to have a dumbbell-shaped occupying mass in the thoracic spinal canal and in the left thoracic cavity, in which the left thoracic mass was about the size of a fist (61×48×61CM3), compressing the spinal cord and protruding into the thoracic cavity. If the tumor tissue in the spinal canal and thoracic cavity was not removed in time, the patient would face paraplegia and respiratory distress. Since the patient had a combination of medical diseases such as diabetes and hypertension, the risk was high no matter what approach was taken. In order to be prudent, Professor Huang organized a major consultation with experts from anesthesiology, respiratory medicine, cardiology, thoracic surgery and neurosurgery, and after careful analysis and research, the experts decided to remove the tumor by surgical incision of thoracic spinal canal and thoracic cavity, and drew up a set of detailed multi-disciplinary joint surgical treatment plan. Under the condition of adequate preoperative preparation, on January 15, 2010, Prof. Huang Xiangwang and Prof. Liu Xiangyang personally performed the “Left Side Transthoracic + Posterior Median Combined Approach Intravertebral Mass Removal, Decompression and Bone Grafting with Endoprosthesis”, and the operation went very smoothly. The surgery went smoothly, and the resected tumor was the size of an adult’s fist, weighing about 500g, and the pathological examination was a huge nerve sheath tumor. After the operation, the old man’s condition was stable and he was discharged from the hospital in half a month. In the past, it was considered to be a challenge to the “forbidden zone” of medicine to perform surgery on the elderly, but under the careful care of the spine surgery staff, the elderly successfully passed the “forbidden zone”.