The treatment of spinal tuberculosis is divided into two main blocks, one is the medical treatment, which is often the basis of treatment and an important key to successful treatment, followed by the symptomatic treatment, which is surgical treatment. In the early stage, we must have adequate and effective, and the efficacy must be sufficient, anti-tuberculosis treatment. Anti-tuberculosis treatment is the main tool of internal medicine treatment, so how to carry out anti-tuberculosis treatment clinically? The principle of treatment is often early, adequate, regular, early, continuous, consistent, regular, and complete. The drugs we commonly use are isoniazid, rifampin, cyclophosphamide, streptomycin, or ethambutol, and so on. There are two phases of treatment: the first phase, called the intensive phase, and the second phase, called the consolidation phase. The first phase is called the intensive phase, and the second phase is called the consolidation phase. The shortest intensive phase is often about three months in bone tuberculosis, and even longer in some patients depending on their condition. So the whole course of treatment is at least one year. So, when is surgery necessary? How does the surgical treatment work? Surgery is needed when the bone is severely damaged, when it has not recovered after medical treatment, when there is even a paravertebral abscess or even when there is damage to multiple segments. There are several surgical methods, but the main principle is to remove the necrotic bone, which is the first step. The second step is to take bone from other parts such as the iliac bone to fill in if necessary. The third step is to fix the bone, because we have to fix it by internal fixation, because the mobility of the spine is very large, if not fixed, this thing can not be placed there, after fixation, and then let it grow up, grow up on its own. In this process, all the tissues destroyed by the spinal tuberculosis should be removed at the same time. Internal treatment is a prerequisite for surgery, and surgical treatment helps to remove the lesions and cure the root cause of the disease. Therefore, there is no substitute for one or the other in the treatment of spinal tuberculosis. The surgical treatment of tuberculosis of the spine is performed by anterior transthoracic and transabdominal surgery, and the lesions are completely removed.