t4-t7 rib vertebral joint worm-like bone destruction may be bone tuberculosis or bone tumor. The t4-t7 costal joints may be tuberculosis. Mycobacterium tuberculosis invades the bone, resulting in bone destruction, localized worm-eaten manifestations, and in some cases pathological fracture, which can be clarified by tuberculin test. Anti-tuberculosis drugs can be applied or surgery can be performed to remove the lesion. Bone tumors, such as giant cell tumor of bone or bone metastases, can be clarified by radiological bone scan. Surgical resection, radiotherapy or chemotherapy should be taken. So t4-t7 rib joint worm-like bone destruction is still quite serious, need to go to the hospital in time for treatment.