脊柱转移瘤(m etastatic spine tum ors,M ST)是脊柱外科临床研究难点之一。近年来,对M ST发病概率、临床诊断、手术指征、评估标准、手术疗效和预后等方面的研究都取得了许多重要的进展,现综述如下。1发病概况1.1发病率M ST可继发于体内任何恶性肿瘤,60%以上来源于肺癌、乳腺 M etastatic spine tum ors (M ST) is one of the most difficult clinical problems in spine surgery. In recent years, many important advances have been made in the study of the incidence of M ST, clinical diagnosis, surgical indications, evaluation criteria, surgical efficacy and prognosis. 1 incidence of 1.1 incidence of M ST secondary to any malignancy in the body, more than 60% from lung cancer, breast