The article presents review of literature for spinal tumors most common in practice. Intraoperative tumor description, histological verification and tactics are presented. Totality of resection of lesion, and methods of instrumentation in case of vertebral column instability are discussed. In spite of lot of the literature, adequate decision is very hard in case of spinal cord and vertebral tumor. Severity of disease is burdened with concomitant somatic symptomatology, neglect of disease, dissemination of the process, vertebral metastases in case of unoperated primary tumor. According to histology, dissemination and vertebral lesion, each definite case should be examined individually and in complex. Only the surgical method is not enough for the decision of spinal tumor problem.