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Objective To observe the results of the metastasis of spinal vertebra treated by replacedment with the adjustable hollow artificial vertebral body.Method An adjustable hollow artificial vertebral body made from medial used titanium.12 patients with the metastasis of vertebral body were treated by this technique.The relief of the pain of function of spinal cord were moinitored.The stability of the operated segments was observed.Results The patients were followed up from 6 to 34 months.The neurological functions were improved markedly,esp.for the pain relieving.The implants were stalbe and the reconstruction of the segment highness was observed on the X ray films.Conclusion The height of anterior column and the stability of the operated segments can be reconstructed by implanting the adjustable hollow artificial vertebral body.This technique may be an alternative method for the management of the metastasis in spinal vertebral body.