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A long term follow up of 40 cases of tumours and tumorous lesions of spine is presented. The importance of a meticulous examination followed by a lumbar puncture, roentgenograms of spine and myelography has been emphasized in diagnosing a case of spinal tumour. The mode of treatment adopted in most of the cases was surgical. Fifty five per cent of tumours were benign and 45 per cent were malignant. Early diagnosis and surgery showed good results in benign tumours. In malignant tumours surgery was done for relief of pain improving the quality of life, but the period of survival was not much affected.