Abstract: The clinical classification of metastatic spinal tumors is based on the degree of malignancy, nervous system function, osteoclasia, and prognosis of patients.The application of this classification system is relatively simple.The assessment and evaluation of patients to estimate the period of survival can guide the individualized treatment of patients.Patients with clear surgical indications can choose to undergo a palliative operation, tumor resection, or total spondylectomy.Alternatively, other patients can opt to have minimally invasive surgery aside from the normal surgical approach.Stereotactic radiotherapy and intensity-modulated radiation therapy combined with the use of radiofrequency ablation, radiation, and other therapies can achieve local tumor control, relieve pain, and maintain normal neurological function.Thus, the quality of life of the patient is improved.Percutaneous vertebroplasty, radiofrequency ablation, spinal endoscopy, and other modern forms of minimally invasive surgery will have more applications in the treatment of spinal metastatic tumors.