Abstract: Bone is the third most common metastasis site after the lung and liver. With the development of related disciplines and multidisciplinary treatment models, especially the progression of targeted and immune drugs, the survival period of patients with tumor is gradually increasing. The increasing probability of bone metastases, especially spinal metastases, seriously affects the quality of life and prognosis of patients. Clinical research has made great progress in recent years regarding the treatment of spinal metastases, and the treatment mode has changed. Surgical treatments are gradually becoming less invasive, and endoscopic surgery under imaging navigation and minimally invasive robot-assisted surgery are gaining prominence.