Metastatic cancer of the spine is the end stage of development of various tumors, mostly accompanied by tumor metastases in the lungs and multiple parts of the body. Therefore, patients with large tumor loads and poor physical fitness often have difficulty in undergoing larger surgical interventions, such as laminectomy reconstruction and total spinectomy. However, due to the disruption of the biomechanical stability of the spine or the combination of spinal cord and nerve root compression, patients need to suffer from unbearable pain and limb dysfunction, such as paralysis and incontinence, and therefore require early surgical intervention. With the development of minimally invasive techniques in spinal surgery in recent years, especially the widespread implementation of vertebroplasty in spinal tumors, a whole new avenue has been created for the treatment of patients with metastatic spinal cancer. Combined with effective decompression of the spinal cord, it can enable effective surgical intervention for patients who originally required long-term bed rest and high doses of pain medication, and can significantly improve the quality of patients’ survival. Yao Weitao, Department of Bone and Soft Tissue, Henan Cancer Hospital