At this stage, domestic patients and even some doctors still have misconceptions about intravertebral tumor. Patients’ symptoms usually start with numbness and weakness of limbs or often fixed pain in one part of cervicothoracic and lumbar back, and these patients usually think that these symptoms are caused by simple limb problems or some common diseases in the lumbar region, and often go to orthopedic surgery. In relatively large hospitals, these patients are usually referred to neurosurgery after diagnosis and receive appropriate surgical treatment. Other patients may be received in other departments and may also be treated by orthopedic surgeons. In fact, orthopedics and neurosurgery have a vastly different understanding of this type of disease. Orthopedics focuses on bone, while neurosurgery is more concerned with the protection and decompression of the nervous system, and there is also a vast difference in the surgical approach. Nerve function can be better protected during tumor removal, and intraoperative bleeding can be greatly reduced. The vast majority of orthopedic surgeons are still handling this type of surgery through naked eye or head-mounted magnification, which is very detrimental to the protection of nerve function. I have seen many of these cases in my clinical practice, and it is painful to see that some patients are delayed because they are not treated properly, but there is nothing we can do about it as physicians. In foreign countries, all spinal and spinal cord surgery is done by neurosurgery. In the understanding of foreign doctors, the spinal cord is part of the central nervous system, and it is far more important to protect and reconstruct the function of the nerves than to focus on the bone itself. Similarly, domestic neurosurgery has become very mature for surgery of intravertebral tumors, and based on the fine microsurgical techniques of cranial surgery, we have tremendous advantages in neuroprotection and decompression for spinal cord surgery, and there is no significant gap between our treatment techniques and those of foreign countries. The main difference lies in two points. First, there is a big gap between us and foreign countries in terms of patient triage, and it has to be mentioned again that many intravertebral tumors are currently treated by non-neurosurgery, which is very unscientific, and we have encountered too many patients who have been misdiagnosed because of such cases, and even caused serious neurological dysfunction after treatment, which is distressing. The second point is that for biomechanical reconstruction, neurosurgeons are now using more minimally invasive treatment modalities, so that more patients suffer less damage to the spine, rather than major damage and then major reconstruction; more are minimally invasive and even non-destructive, to achieve better treatment results.