The incidence of spinal degenerative disease is increasing in the elderly as China has entered the aging society, but we lack a scientific or standard treatment for this disorder. On one hand, for reasons of behindhand understandings, there are some untimely treatments, and incorrect or unreasonable methods. On the other hand, there are some radical understandings and over-treatments for the disease. It is a big problem we faced in the current clinical practice, which is how to correctly and reasonably diagnose and treat this disease. So we should emphasize and advocate reasonable, sensible and scientific principles of modern strategies which are suitable for our national conditions, that is stepwise and individual principle.