The present invention reduces the time required to inject bone reinforcement by injecting a bone reinforcement agent from the outside due to the occurrence of diseases such as osteoporosis and compression fractures in the vertebrae, and induces a bone reinforcement agent, etc. It is to minimize the damage of the vertebral bone treatment site to reduce the pain felt by the patient, Surgical instrument for vertebral bone disease molding according to an embodiment of the present invention, In the surgical instrument for vertebral disease molding, A perforator consisting of an adapter in which protrusions are formed symmetrically on both sides of the left and right sides, and a rod formed integrally with the adapter, and a perforating groove in which the injection hole is drilled in the vertebrae when the rotation is inclined at an end thereof; The handle is formed to be symmetrically formed on the upper and lower sides of the coupling groove corresponding to the protrusion to be detachably coupled when rotating by inserting the adapter into the coupling cutout formed so that the adapter of the puncher is seated, and the handle part is integrally extended to form an empty interior. Comprising a cylindrical portion of a long shape, the guide member is formed to face the cutout portion at the end of the cylindrical portion to ensure the inclined length of the drilling groove, It is made of a hollow cylinder shape of the hollow shape so that the bone reinforcing agent to be filled in the injection hole, the end of the supply pipe, It is inserted into the cylindrical portion of the supply pipe so as to be slidable, and provided with a push rod for discharging the bone reinforcing agent in the supply pipe to the injection hole when pressurized by the reciprocating motion.본 고안은 척추뼈에 골다공증, 압박골절 등의 질환 발생으로 인해 골 강화제 등을 외부로부터 주입할 경우, 척추뼈에 주입공을 천공하여 골 강화제 등을 주입하는 시술 시간을 줄이고, 시술과정에서 발생되는 척추뼈 시술부위의 훼손되는 것을 최소화하여 환자가 느끼는 통증을 감소시킬 수 있도록 한 것으로,본 고안의 일 실시예에 의한 척추뼈 질환 성형용 시술 기구는,척추뼈