The patient is a 58-year-old woman, who was treated with minimally invasive surgery by a “specialist” for lumbar spine tuberculosis 2 years ago, and continued to suffer from lumbar back pain after the surgery. 3 months ago, her lumbar back pain worsened after a trauma, and she developed Three months ago, the lumbar pain worsened after a trauma, and there was weakness of the lower limbs and walking problems. Admission X-ray: admission CT: admission nuclear magnetic: the treatment of spinal tuberculosis must not be limited to whether the lesion can heal or not, and the healing of the lesion is only the most basic requirement for the treatment of spinal tuberculosis. In addition to the healing of the lesion, the modern treatment of spinal tuberculosis is mainly to repair the damage and loss of spinal function caused by the lesion and restore the normal function of the spine. If the spinal lesion is healed, simple drug treatment is sufficient, and the so-called “minimally invasive” treatment by a certain expert is a repeated action (for details, please refer to other cases in my article). The so-called “minimally invasive” treatment by a certain expert, which means inserting tubes and giving medication, cannot solve the problem of destruction and loss of spinal function caused by the lesion. This patient missed the best opportunity for treatment due to the pseudo-specialist’s misjudgment, and would have been much safer if he had been operated on during the active phase. The patient underwent posterior lumbar decompression, osteotomy and orthopedic internal fixation, and recovered well. Spinal osteotomy is a high-risk surgery, and although this patient recovered well after the operation, the intraoperative trauma was indeed large, and the risk of perioperative spinal cord injury was high.