The invention discloses a real-time evaluation and correction method in a spine posterior approach operation. Each segment of the spine is divided by an X ray photo and is matched with each corresponding segment of a 3D model which is constructed by CT (Computed Tomography), rigid body transformation is estimated, and thus a rectification result can be obtained; on the basis, the whole spine is spliced, a real-time three-dimensional spine form of a patient on an operating table is reconstructed, an operation effect is estimated in real time, the orientation for placing a nail is corrected in time, the incorrect nail placement in an operation is remedied, the operation risk is reduced, and the success rate of the operation is improved. According to the method, the spine segments belong to rigid bodies, the whole spine belongs to a non-rigid body, and 2D / 3D images of a non-rigid body joint target are subjected to registration; the 3D positions of a pedicle screw is estimated by 2D images, and the 3D form of the spine of the patient after operation nail placement is reconstructed; the problems that visual real-time monitoring and correction lacks in the existing spine posterior approach operation, and the danger existing in the operation is not remedied in time are solved.