This is a 65 years old male patient, 3 years ago gradually appeared chest and back pain, at that time did not pay attention to. 1 month ago the pain aggravated, and the chest and back of the girdle sensation, in the local hospital, diagnosed with osteomalacia after filming, given anti-inflammatory, analgesic and other symptomatic treatment, the symptom has not been improved, and gradually aggravated, admitted to the hospital 15 days before the start of urinary and fecal problems, the lower extremities of the muscle strength decreased, could not walk, and had a low fever. Walking, can only be bedridden, and have a low fever, the local hospital gave him a MRI, the local MRI considered a tumor, the family discussed and discharged from the hospital, and then transferred to the emergency department of our hospital, the emergency physician asked me to go to the consultation, I remember very clearly, at that time, it was about 8 o’clock in the evening, I saw the patient lying on the emergency bed, his expression was very painful, his mental state was very poor, at that time, I found that the patient was in the emergency bed, his expression was very painful, and his mental state was very poor, and I found that the patient was in a poor state, and I found that he was in a poor state. At that time, it was found that the bilateral nipples had decreased sensation below the plane, and the muscle strength of both lower limbs was less than grade 3. In the emergency department I read his films carefully and found that this patient had a predominantly thoracic 6/7 intervertebral space disruption, with abscesses and dead bone posterior to the intervertebral space, compressing the spinal cord. I considered the diagnosis of thoracic spine tuberculosis and later referred to our department. After the patient was transferred to our department, I did another enhanced MRI scan, which confirmed that the spinal cord was mainly compressed by the posterior abscesses, while there were not many anterior abscesses, and the laboratory sedimentation was not high, so I advised the patient and his family to operate as soon as possible. There was a hiccup in this. Maybe the family was too cautious, it was said that the family consulted a friend who had a similar disease, and his friend suggested anti-tuberculosis medication for a period of time before considering surgery, and therefore refused surgery. I explained to the family at that time that the diagnosis of tuberculosis was established, and there were dead bones and abscesses compressing the spinal cord, and the patient was already paralyzed, and the blood sedimentation was not high, so the patient should be operated as soon as possible, to remove the abscesses and dead bones, to relieve the spinal cord compression, and to provide conditions for the recovery of the nerves. However, the family still disagreed and the surgery was delayed for more than 10 days. The operation went smoothly, we removed the abscess completely, and there was no blood transfusion. After the operation, the patient’s muscle strength of both lower limbs recovered gradually, and by the time he was discharged from the hospital, the muscle strength of his lower limbs had recovered to grade 4, and the pain in his chest and back had disappeared completely, and the patient was very satisfied with the results of the operation. Here I once again realized that medicine is a very professional profession, and we must patiently explain the condition to the patient, even if he can’t understand, we can’t lose patience. Treating patients as family members and communicating with them from heart to heart can minimize many misunderstandings. Pre-operative X-ray suggests bone destruction Pre-operative MRI suggests spinal cord compression Pre-operative enhanced MRI suggests abscess compression mainly in the posterior Post-operative X-ray shows lesion removal and good position of internal fixation