The previous view was that once a metastatic tumor in the spine was detected, it meant that the tumor was already advanced and surgery was generally not recommended. However, please note! However, in recent years, with the development of medical science and the improvement of people’s living standard, the concept and strategy of treatment for metastatic tumors at home and abroad have actually changed fundamentally. If the patient’s pain can be relieved and neurological function can be saved by surgical treatment, we think that surgical treatment is still meaningful. It is especially meaningful for tumors with relatively low malignancy and long expected survival, such as thyroid cancer, breast cancer and prostate cancer. With comprehensive treatment, these patients can have a life expectancy of several years, a decade or even decades. For patients with metastatic spinal tumors that meet the following conditions, surgery can be considered: the patient’s expected survival period is more than six months; the tumor causes compression of the spinal cord and nerves and progressive neurological impairment; intractable pain medication is ineffective, insensitive to radiotherapy and chemotherapy, or the tumor recurs after chemotherapy and radiotherapy and compresses the spinal cord; the patient is in good general condition and can tolerate surgery. When these conditions are met, we can consider surgery.