The early symptoms of thoracic spine tuberculosis are as follows: 1, a history of pulmonary tuberculosis or family history of tuberculosis; 2, a slow onset, insidious symptoms, there may be no obvious systemic symptoms or only mild symptoms of tuberculosis poisoning. Systemic symptoms such as low fever in the afternoon, weakness, night sweats, typical cases can be seen in wasting, poor appetite, anemia and other symptoms, a few patients with rapid onset, high fever, usually seen in children; 3, joint lesions, mostly solitary, a few are multiple, symmetry is rare. 30%-50% of patients often have a history of local trauma before the onset of the disease, the lesion site initially hidden pain, increased after activity, children often have night cries. Some patients have acute symptoms such as severe pain due to lesions and pus breaking into the joint cavity. Because of the overlap between the innervation of the hip and knee joints, patients with hip tuberculosis complain of knee pain. In simple bone tuberculosis, the pain is severe due to high pressure in the medullary cavity and excessive accumulation of pus.