Gout refers to a metabolic disease in which monosodium urate (MSU) crystals exceed their saturation in blood or interstitial fluid, thereby depositing in joints throughout the body, which can induce local inflammatory responses and tissue structure destruction. When MSU is deposited in the facet joint, ligament flavum, epidural space, etc., it may lead to the formation of gout in the spinal canal of the spine. The disease can occur in various segments of the cervical, thoracic and lumbar spine, with no specific clinical symptoms in the early stage and lack of conventional imaging features, so it is very prone to misdiagnosis and mistreatment. Since the disease was first reported in 1950, several publications have summarized the pathogenesis, clinical manifestations, diagnosis and treatment of the disease. On this basis, the above literature will be reviewed in order to deepen the understanding of the disease.