关键词: 脊椎肿瘤, 外科分期, 评分系统, 外治疗原则

Abstract: Abstract：The incidence of spinal tumors has significantly increased in recent years. With the continuous development and transformation of oncology and treatment concepts and techniques of spinal surgery, the surgical staging, scoring system and treatment decision framework of spinal tumors have been further improved, providing important clinical value for standardized treatment. Since spinal tumors are not sensitive or even resistant to classical radiotherapy and chemotherapy,surgery has become the main means of treatment at present. We should deeply grasp the principles of surgical treatment and resection boundary, which can effectively improve the quality of life and prolong survival of patientswith spinal tumors.However, in the development of surgical plans, we need to further consider the surgical strategy (total en bloc, sagittal or vertebral resection), resection methods (en bloc or piecemeal) and surgical approach (single posterior or anterior combined posterior approach). Future research trends should focus on how to weigh the risks and benefits of radical surgery such as total en bloc spondylectomy, and develop more rigorous surgical indications to improve clinical efficacy and reduce complications in patients withspinal tumors.

Key words: spinal neoplasmss, rgical stage, scoring system, principles of surgical management