For a long time, spinal cord diseases have been conceptualized by many people, including medical professionals, as being under the umbrella of orthopedic treatment for extradural lesions and neurosurgery for intradural lesions. Spinal neurosurgery is a cross-disciplinary field that encompasses both the bony structures of the spine, as well as the central nerves of the spinal cord and the spinal nerves. Neurosurgery started late in China, and in the past the treatment of spinal neurosurgical diseases was basically undertaken by orthopedic surgeons, and there are still many local hospitals where orthopedics and neurosurgery are together. At the beginning of the founding of the country, there were neurosurgical predecessors who started spinal surgery, however, the percentage of which was very small, and the surgery was mainly focused on the removal of tumors in the spinal canal. The main reason for this is that neurosurgeons are more concerned with the protection of the spinal cord and nerves, and have given less consideration to the stability aspects of the spine, or have little understanding of the biomechanical structure of the spine and internal fixation techniques. In the past, most of them simply bite off the vertebral plate, or even bite off the vertebral plate of multiple segments, and long-term follow-up found that many such patients developed spinal deformity. Therefore, neglecting spinal stability has been the biggest deficiency of neurosurgeons in this type of surgery in the past. Neurosurgeons have begun to recognize spinal cord diseases from a comprehensive and holistic perspective, and have begun to learn new techniques and theories in spinal fixation. At present, some large hospitals in China have set up spinal neurosurgery treatment centers, combining neuromicrographic surgery and internal fixation techniques, and have achieved excellent results in the surgical treatment of spinal column and spinal cord diseases, with only 13 beds but more than 600 surgeries per year. In Europe and the United States, spinal diseases mostly belong to neurosurgery, neurosurgeons are committed to the field of spinal neurosurgery, spinal and spinal cord diseases in many large neurosurgery centers, accounting for more than 60% of the total number of surgeries, spinal neurosurgery in the history of the development of neurosurgery there is no lack of neurosurgeon’s role in the development of the figure, Cushing, Cloward, Goel, Bryan, Laheri and so on. Neurosurgeons such as Cushing, Cloward, Goel, Bryan, Laheri and others have contributed greatly to the development of spinal fixation materials. In 2000, J Neurosurgery, the journal of the American Association of Neurological Surgeons, formally published the spine fascicle J Neurosurgery: Spine, thus making spinal neurosurgery another important branch following functional neurosurgery, interventional neurosurgery and so on. Spinal neurosurgery can be summarized in two aspects, namely decompression and immobilization. It has been pointed out in the literature that inadequate decompression is the main reason for the poor efficacy of cervical spondylosis surgery, and the serious complications and even deaths caused by high cervical surgery are also mostly related to surgical operations, and neurosurgeons can give full play to their specialties through microscopic manipulation techniques precisely in this aspect. Neurosurgeons specialize in the protection of the spinal cord and nerves. Spinal neurosurgery combines decompression and immobilization in a holistic approach to treatment. Neurosurgeons can easily transition from microsurgery within the spinal cord to disc surgery. With microsurgical techniques and different training backgrounds, neurosurgeons have a deeper understanding of the anatomy and physiology of spinal nerves, which gives them a unique advantage in dealing with spinal cord and nerve decompression. When I was studying spinal neurosurgery at Xuanwu Hospital, I was in charge of a patient who had immigrated to Canada and had experience in foreign medical treatment. When he returned to his home country and suffered from lumbar spine disease, he asked his children to look for a neurosurgeon who could treat the lumbar spine in his home country, and therefore he found Director Kan Fengzeng, the head of the neurosurgery and spine group at Xuanwu Hospital, to operate on him. Dr. Kan carefully analyzed the patient’s clinical data and finally adopted a minimally invasive approach to operate on the patient, which was very successful. Neurosurgeons can not only maintain and restore the stability of the spine through internal fixation devices, but also minimize the impact on the stability of the spine through microsurgical techniques that can reduce the scope of the spinal canal opening and minimize the trauma to the spine. It can be said that neurosurgeons, after training in spinal internal fixation, coupled with the skillful application of microscopic technology, have a unique advantage in dealing with spinal spine lesions Spinal neurosurgery is a cross-discipline, neurosurgery and orthopaedics each have their own strengths, and the relationship between the two disciplines should not be isolated, competitive or even antagonistic, but rather should be mutual learning, mutual promotion, complementary to each other’s strengths, and harmonious development. For neurosurgeons, they should take a positive attitude to carry out spinal neurosurgery, but to carry out spinal neurosurgery, they must learn spinal fixation techniques with an open mind, and must undergo strict training in spinal internal fixation techniques. During my training at Xuanwu Hospital, I participated in the internal fixation training course jointly organized by the department and the Anatomy Teaching and Research Department of the Union Medical College, and I was deeply impressed that although we neurosurgeons have an advantage in microscopic technology, we must not be blindly arrogant and eager to achieve quick success, and we still need to learn from the ground. At present, the scale of spinal neurosurgery in China is still far behind the developed countries in Europe and the United States, China’s neurosurgeons should be in line with the idea of “all for the sake of the patient”, the real persistent, down-to-earth development of neurosurgery, the implementation of scientific concepts of minimally invasive, and give full play to the advantages of neurosurgical microscopic technology, and actively promote the development of spinal neurosurgery in China to contribute to their own development. We will implement the scientific concept of minimally invasive, give full play to the advantages of microscopic neurosurgery, and actively contribute to the development of spinal neurosurgery in China.