With the progress of basic tumor theory research, the application of modern diagnostic techniques such as MRI and ECT, the advancement of tumor staging system, the improvement of surgical techniques, the development of chemotherapy, local radiation therapy and other techniques, etc., the treatment of spinal bone tumors has undergone a fundamental change, and the overall survival rate of the patients and the effect of the improvement of the function have been significantly improved. The first and most important: clear diagnosis. Emphasize the combination of clinical manifestations, radiological data (including X-ray, CT, MRI, ECT, etc.) and pathology. Generally speaking, the diagnosis can be roughly determined according to the first two, i.e. clinical manifestations and radiological data. If there is any doubt about the diagnosis, it is recommended to perform puncture biopsy as early as possible. According to the type of tumor, different treatments should be chosen Benign tumors and neoplastic lesions of the spine: Temporary observation – asymptomatic, not developing, not affecting spinal function (e.g., small hemangiomas) Non-surgical treatment – symptomatic, developing (e.g., hemangiomas) Those who are sensitive to radiotherapy can be treated with radiotherapy. Radiotherapy Surgical treatment Primary malignant or metastatic tumors of the spine Non-surgical treatment: radiotherapy and chemotherapy are preferred for tumors sensitive to radiotherapy and chemotherapy such as myeloma Adjuvant treatment: bisphosphonates Surgical treatment Surgical treatment for spinal tumors: It needs to be decided according to the type of the tumor, its location, the extent of the damage, the impact on the spinal cord, the prognosis, etc., among which, microwave inactivation and total spinal tumor resection with artificial vertebral body replacement are the most important. Characteristics and advantages of spinal tumor treatment in our department Minimally invasive percutaneous puncture vertebroplasty; local resection; extended resection, spinal cord decompression and internal fixation; microwave inactivation and scraping followed by cement filling and internal fixation; total spinal resection: artificial vertebral body replacement or titanium mesh implantation and internal fixation.