The sequelae of spinal tuberculosis surgery mainly include pain, neurological symptoms, dysfunction, and even paraplegia. Spinal tuberculosis combined with paraplegia, in addition to the systemic symptoms and local manifestations of spinal tuberculosis, there are also manifestations of spinal cord compression. The initial manifestations are back pain and a feeling of girdling of the diseased segment, which is the result of nerve root stimulation, and then paraplegia occurs. In the process of paralysis, the earliest motor disorders appear, followed by sensory disorders, and finally urinary and fecal dysfunction. Spinal tuberculosis complicating paraplegia, the patient’s urinary and fecal dysfunction is manifested as difficulty in urination in the early stage, which gradually develops into complete urinary incontinence, and urinary incontinence may occur when the reflex function of the bladder is restored. Fecal dysfunction initially manifests as constipation and abdominal distension, and loss of control may also occur. Autonomic dysfunction manifests as dry and sweatless skin below the plane of paraplegia, and CT and magnetic resonance examinations show the degree of destruction of the lesion site and the compression of the spinal cord, which can be helpful in the diagnosis and prognosis judgment.