The textbook is devoted to surgical treatment of injuries of the thoracolumbar spine and spinal cord. It describes the classification of injuries, the basic principles of decompression-stabilizing and reconstructive interventions for unstable and complicated injuries from the standpoint of modern ideas about the biomechanics of the spinal column. It is recommended as a textbook for students in the system of postgraduate education of medical universities in the specialty of traumatology and orthopedics, neurosurgery. Also the manual can be useful for residents and postgraduate students.