Tuberculosis of the spine is caused by the spread of Mycobacterium tuberculosis through the blood circulation to the spinal area when a previous lesion such as tuberculosis has not been completely cured and the immune system has been depressed for years. This disease is much more difficult to treat than other lesions, such as lumbar disc herniation and lumbar strain. The disease should be treated with oral anti-tuberculosis drugs for years to keep the tuberculosis under complete control in the quiescent phase, and surgical treatment options should be judged according to the severity of the spinal tuberculosis, which has formed a paravertebral abscess and produced symptoms of nerve compression at the back of the spine. This is because recovery of nerve function takes a long time, if at all, and can produce some of the sequelae. Years of tuberculosis cause a person to have a low immune system, and the chances of infection during the procedure are greatly increased.