1, pain Dull pain in the affected area and hypothermia and other systemic symptoms appear at the same time, aggravated by activities, car shaking, coughing, sneezing, and reduced after bed rest; pain is aggravated at night, pain can radiate along the spinal nerve, the upper cervical spine radiates to the back of the occiput, the lower cervical spine radiates to the shoulder or arm, the thoracic spine radiates along the intercostal nerve to the upper and lower abdomen, often misdiagnosed as cholecystitis, pancreatitis, appendicitis, etc. The lower thoracic spine 11-12 may radiate along the inferior gluteal nerve to the lower back or buttocks, and for this reason, only lumbar spine films are often taken during X-ray examination, so that lesions of the lower thoracic spine are often missed. Lumbar spine lesions along the lumbar plexus mostly radiate to the front of the thigh, occasionally involving the back of the leg, and are easily misdiagnosed as disc prolapse. 2, abnormal posture is caused by pain resulting in spasm of the paravertebral muscles. Patients with cervical tuberculosis often have a sloping neck, forward head tilt, shortened neck and hands holding the jaw. The posture of chest and abdomen is common in the thoracolumbar or lumbosacral spine structure. Normal people can bend over to pick up things, but because of the disease can not bend over but bend the hip and knee, one hand on the knee and the other hand to pick up things on the ground, called a positive pick-up test. Young children can not extend the waist, can be made to lie prone, the examiner lift their feet with their hands, the normal spine is curved natural back extension, and children with disease intervertebral fixation or paraspinal muscle spasm, the waist can not back extension. 3, spinal deformity cervical and lumbar spine to note whether the physiological protrusion disappeared, the thoracic spine has increased physiological protrusion. From top to bottom, look for abnormal protrusion of each spinous process, especially limited angular protrusion, which is mostly seen in spinal tuberculosis, as opposed to epiphyseal chondromalacia of young vertebrae, ankylosing spondylitis, poor posture, etc. into arcuate protrusion and round back. The kyphosis deformity and restricted bending are characteristic manifestations of spinal tuberculosis. 4. Cold abscesses 70% to 80% of spinal tuberculosis is complicated by cold abscesses at the time of consultation, and paravertebral abscesses located deep in the spine can be revealed by X-ray radiography CT or MRI. Abscesses may flow along the myofascial space or neurovascular bundle to the surface. Circumferential spine lesions may have abscesses in the posterior pharyngeal wall causing dysphagia or respiratory disturbances; abscesses in the middle and lower cervical spine appear in the anterior or posterior cervical triangle; abscesses in the lateral aspect of the vertebral body of thoracic vertebral tuberculosis present as tense spindle or columnar abscesses, which may flow along the intercostal neurovascular bundle to the thoracic back and occasionally penetrate the lungs, thoracic cavity, and rarely the esophagus and thoracic aorta; abscesses in the thoracolumbar and lumbar spine may flow down along one or both iliopsoas muscle fascia or its interstitial The abscesses of the thoracolumbar and lumbar spine can be injected along one or both sides of the iliopsoas muscle fascia or between their parenchyma downward in the retroperitoneum, occasionally penetrating into fixed organs such as the colon, downward without seeking upward to the iliac fossa, groin, buttocks or legs; the abscesses of the sacral spine are often gathered in front of the sacrum or along the pear-shaped muscle through the greater sciatic foramen to the vicinity of the greater trochanter of the femur. 5.Sinus tracts Cold abscesses may extend to the surface of the body and may be self-absorbed by treatment or form sinus tracts by their own rupture. When the sinus tract becomes secondary to infection, the condition will be aggravated, treatment is difficult and prognosis is poor, so it should be avoided as much as possible. 6.Spinal cord compression signs Patients with spinal tuberculosis, especially above the cone of cervicothoracic tuberculosis, should pay attention to the presence of spinal cord compression signs and nerve dysfunction of the extremities for early detection of spinal cord compression complications.