Thoracic spinal cord glioma can be removed surgically and supplemented with radiotherapy or chemotherapy if necessary. Thoracic spinal cord glioma is a tumor occurring in the thoracic spinal cord, mainly astrocytoma and ventricular meningioma are common, in the central canal of the spinal cord upward and downward expansive growth, compression of the spinal cord can lead to neurological dysfunction, mainly manifested as weakness of the limbs, dysfunction of bowel movements, when the discovery of glioblastoma in the spinal cord should be surgically resected at the earliest possible time. Generally, a posterior vertebral body incision is used to incise the spinal cord to explore the upper and lower poles of the tumor, and the tumor is completely resected. Careful maneuvering is necessary during surgery to avoid spinal cord injury. If there is instability of the spine, a pedicle screw system can be performed for fixation or implant fusion to stabilize the spine. After surgery, pathological tests are required to clarify the pathological characteristics of the tumor, and further radiotherapy or chemotherapy is taken if necessary. Thoracic spinal cord glioma is recommended to be treated as early as possible once detected.