This book introduces the epidemiological characteristics of spinal metastases, focuses on the evaluation of metastases and related factors that affect the choice of surgical methods. Then, based on the characteristics of surgical reconstruction methods, it introduces the diagnosis and treatment of spinal metastases in detail according to the location. In addition, it summarizes and introduces the research progress and experience of anterior spinal reconstruction. Finally, it introduces the adjuvant treatment and special pathological types of spinal metastases.