Spinal tuberculosis combined with paraplegia occurs mainly in the cervical and thoracic spine, while paraplegia rarely occurs in the lumbar spine. Unlike paraplegia caused by trauma, paraplegia is the result of direct compression of the spinal cord by tuberculous material, which is also called active paraplegia of the bone lesion. Surgical treatment is effective and quick. However, when the bone lesion has been cured, the lesion is in the stable stage, the spine has a serious retroconvex deformity or there is a large amount of fibrous tissue hyperplasia in the spinal canal, the dura is thickened, the spinal cord is damaged by the posterior edge of the vertebral body for a long time, and the compression of the hyperplastic fibrous tissue and the dura causes the spinal cord to gradually develop fibrous degeneration. Finally, paralysis occurs due to loss of compensatory capacity, which is called osteopathic healing type of paralysis. Most of the cases are incomplete paralysis, and the effect of surgical treatment is poor, but conservative treatment can make most of the cases less symptomatic after bed rest instead.