当肿瘤位于脊髓腹侧或椎体肿瘤造成脊髓腹侧受压时,首选前入路手术。根据病变部位采取相应的前入路手术,每一前入路手术各有其适应症和优缺点,严格掌握适应症和禁忌症以提高手术疗效,同时要兼顾脊柱的稳定性。影像技术辅助下的前入路手术具有微创、显露好等特点。 When the tumor is located in the ventral spinal cord or vertebral tumor caused by spinal ventral compression, the preferred anterior approach. According to the lesion to take the appropriate anterior approach, each anterior approach has its own indications and advantages and disadvantages, strict indications and contraindications to improve the surgical efficacy, taking into account the stability of the spine. Imaging technology-assisted anterior approach with minimally invasive, revealing good features.