Spinal cord tumors include tumors occurring in the spinal cord, spinal nerves, dura mater, vertebrae and adnexa. Early clinical manifestations, such as cervicothoracic-lumbosacral pain, numbness and weakness of limbs, are often similar to many common orthopedic diseases, such as cervical spondylosis, lumbar disc herniation, lumbar strain, spinal stenosis, etc. Many patients often delay early diagnosis due to their own negligence or because of incomplete examination by doctors at the time of consultation, which may lead to misdiagnosis. Even a small tumor can produce severe symptoms and cause paralysis or neurological dysfunction due to compression of the spinal cord or nerves. Therefore, comprehensive and careful examination and physical examination is an important tool for early detection of spinal cord and spine tumors. Xin Common tumors According to the location of tumor occurrence, spinal cord spine tumors are mainly divided into the following categories: intradural tumors, intradural and extradural communicating tumors, and spinal column tumors. Intramedullary extramedullary subdural tumors commonly include nerve sheath tumors, neurofibroma, spinal meningioma, etc.; intramedullary tumors are commonly astrocytoma and ventricular meningioma, followed by vascular reticulocytoma, cavernous hemangioma, lipoma, etc. Neurogenic tumors are common in intra- and extradural communicating tumors. Spinal tumors are common with primary bone tumors and metastatic tumors/carcinomas. Common symptoms Pain: early manifestation of tumor irritation of nerve. The pain area is fixed and manifests as neck and shoulder, lumbar and leg pain, mainly soreness, which can be radiated-like to the distal end. The trunk is in a bundle-like pain. It can be triggered or aggravated by changing position with force. At this time, you are advised to pay attention to it as early as possible and seek medical consultation in time. Numbness: the early and mid-term manifestation of tumor affecting nerve. After long-term compression of nerve by spinal cord tumor, it leads to degeneration and numbness of the corresponding trunk and limbs, and it may also manifest as anthrax sensation, burning and pinching sensation, or thoracic and abdominal girdle sensation. It lasts for a long time and is gradually aggravated by repeated attacks. Soft: In the middle and late stage of the tumor, the weakness of limbs, such as unstable holding and walking, incontinence and sexual dysfunction, and the symptoms gradually worsen. At this stage, timely treatment still has great hope for recovery. Paralysis: The late stage of tumor causing severe nerve damage. It can be monoplegia, hemiplegia, paraplegia and high paraplegia, which mainly occurs in the late stage of tumor. Common tests Common tests include X-ray, CT scan, MRI scan and ECT/PETCT and other imaging tests, which can clarify the location of the tumor, the extent of invasion and destruction, the relationship with the surrounding spinal nerve roots and other important tissues, as well as whether there are metastases to other parts of the body. For cases requiring surgical treatment, it helps to decide the mode of surgery, determine the extent of resection and select the method of internal fixation for rebuilding spinal stability. Treatment The treatment of spinal cord tumors is mainly surgical, especially for benign spinal cord tumors (such as nerve sheath tumors, spinal meningiomas, neurofibromas and cavernous hemangiomas), which can be cured by complete surgical resection. However, for malignant tumors of the spinal column, comprehensive treatment (surgery combined with radiotherapy, chemotherapy and biologic targeted therapy) is required, such as spinal metastases/cancer and spinal glioma. The purpose of surgery: First, it can clarify the pathological nature of the tumor, assess the prognosis, and provide a strong basis for later comprehensive treatment. Secondly, patients with spinal cord tumors often have acute or chronic neurological compression symptoms, and once acute exacerbation occurs, it will greatly affect patients’ quality of life, ranging from monoplegia to complete paralysis. Surgery can alleviate the condition and prevent pathological fracture through decompression, internal fixation and implantable chemotherapy or internal radiotherapy, even if the tumor cannot be fully resected, but to a certain extent, it can relieve pain, maintain and improve nerve and spinal cord function, and allow patients surviving with tumor to have a greatly improved life and quality of life. With the improvement of micro-neurosurgery techniques, the application of intraoperative electrophysiological monitoring and the development of various spinal fixation techniques, the eventual doom of complete paralysis and loss of function of patients with spinal cord tumors can be avoided if the treatment is timely and appropriate. Our brain and spine surgery department focuses on minimally invasive and functional reconstruction in the treatment of spinal cord and spine. We take into account the stability of the spine while removing the tumor to bring about better functional recovery for patients.