1. What are the systemic symptoms of spinal tuberculosis? Tuberculosis of the spine often has systemic symptoms such as low fever in the afternoon, night sweats, fatigue, weight loss, and anemia. With the aggravation of the disease, there may be difficulty in getting up and walking, and if there is pulmonary tuberculosis or pleurisy, there may be coughing, coughing white mucous sputum, chest pain, stuffiness and other symptoms. 2.Does all spinal tuberculosis cause pain? Where is the pain usually found? Most patients will have chronic pain of varying severity at the spinal lesions, which is aggravated by activity. Thoracic and lumbar spine tuberculosis often have pain in the thoracic or lumbar back, sometimes with radiating pain to the two ribs or both sides of the abdominal wall, and may be accompanied by a feeling of chest or lumbar girdle. Cervical tuberculosis may have pain in the cervical region similar to that of a falling pillow. The pain of spinal tuberculosis is characterized by immobility without pain and is mostly relieved by resting at rest. A small number of patients have persistent and severe pain in the spine and back due to compression of the lesion and irritation of the nerve roots. 3.If I have spinal tuberculosis, what is the impact on my life? How is it detected? Tuberculosis of the spine is one of the most dangerous diseases to health and life. The spine is the main weight-bearing structure of the human body, and the spinal cord in the spinal canal is an important center and pathway for the body’s nerves. Therefore, once the above-mentioned symptoms of the whole body and spine are present, you should go to the hospital in time to get a preliminary diagnosis through MRI and CT examination of the spine. 4.What is the problem of “night crying” in children with spinal tuberculosis? The symptoms of spinal tuberculosis are relatively mild, and pediatric patients are often unable to express their discomfort accurately, and are often seen by their parents only when walking weakness or kyphosis occurs. Sometimes children’s muscles relax after sleeping and the protection of the spine is weakened, and unconscious body movements during sleep can cause pain in the spine and back and crying, called “night crying. 5.What kind of deformity can occur in spinal tuberculosis? With the aggravation of spinal destruction, the deformity of kyphosis or scoliosis of the spine may appear, and the abscess of thoracic spinal tuberculosis may break into the thoracic cavity and cause deformities such as thoracic collapse and scoliosis without timely treatment. 6.What are the characteristics of abscesses of spinal tuberculosis? In which parts of the spine can they be found? Due to the constraint of the paravertebral fascia ligament, abscesses of thoracic spinal tuberculosis are often located around the lesioned vertebral body, and because of the narrow space, the tension of abscesses is often high, and the pain is severe. If the abscess penetrates the paravertebral fascia into the thoracic cavity, it may cause abscess thorax. Lumbar spine tuberculosis is often accompanied by unilateral or bilateral abscesses of the psoas major muscle, which can flow down to the iliac fossa if there is too much pus, and can also penetrate through the soft tissue spaces around the pelvis to the low back, inner thighs, or buttocks. If left untreated, the skin of the abscess may ulcerate and a large amount of pus may spill out. Cervical spine tuberculosis may present as an abscess in the posterior wall of the pharynx, which can affect swallowing and breathing in larger areas. Sacral and caudal spine tuberculosis are mostly anterior sacral abscesses that may penetrate to the buttocks.