Sarcopenia is a common metabolic disease closely related to age in elderly patients.The current research on sarcopenia is not thorough,but it related to poor prognosis of spinal surgery has been confirmed.It may be due to that sarcopenia have a certain degree of impact on the relevant treatment plan,preoperative planning and perioperative management of spinal surgery.Sarcopenia has recently been a hot topic of research,with a large number of reports on the development of sarcopenia,the impact of sarcopenia on spinal surgery prognosis,and drug,nutritional,and exercise therapy interventions for sarcopenia.This article will provide a review of the previous works,focusing on summarizing the research progress on the relationship between sarcopenia and spinal surgery,providing ideas for the research and clinical diagnosis and treatment of sarcopenia in spinal surgery,and preparing for related clinical research in the future.