The invention discloses a vertebra CT image three-dimensional visualization method and belongs to the medical field. In order to solve the problem that a large quantity of voxels and equivalent pointsare processed in the process of performing three-dimensional reconstruction visualization through a traditional Marching Cubes algorithm, the vertebra CT image three-dimensional visualization methodmakes improvement on the theoretical basis of the traditional Marching Cubes algorithm, wherein when subdivision configuration of triangular patches in the voxels is determined, a golden section method is utilized to calculate intersection points of an isosurface and voxel edges, the triangular patches are fitted into the isosurface, normal vectors of the triangular patches are calculated, a central difference method is adopted to solve gradient values of eight vertexes inside the voxels, and display, rotation, scaling and other interactive operation are completed through a VTK (VisualizationToolkit). In this way, transparent and semi-transparent visual function setting is realized, it is convenient for doctors and researchers to perform observation and analysis from arbitrary angles, andthe method provides a theoretical basis and technical support for observation of vertebra internal and external structure information and treatment and research in a later period.