To the editor, As an old global epidemic, tuberculosis (TB) has been threatening human lives for thousands of years. Still today, about 2 billion people are infected with TB, and 1.7 million deaths occur each year worldwide. 1 In addition, many TB patients are undiagnosed or not reported. 2 Spine is the most common site of extrapulmonary TB, accounting for 50% of skeletal TB. 3 Spinal TB caused by mycobacterium tuberculosis (Mtb) which typically spreads via hematogenous path, and then erodes the vertebral body from anterior to posterior. Spinal TB has a characteristic loss of bone density in anterior part of vertebra at first, which tends to create a kyphotic deformity historically named as Pott disease. The intervertebral disc is often the last to be affected, which differs from a typical pyogenic infection. This is often distinguished with the use of magnetic resonance imaging. Spinal TB can be confirmed by histological cultures and laboratory testing.The typical symptoms and signs of patients infected with TB include fatigue, back pain, weight loss, night sweats, and fevers. Spinal TB generally has an insidious progression with 3 major clinical features: cold abscess, neurologic deficits, and a kyphotic deformity. 4 Compression of the neurological elements from either an abscess or from the kyphotic deformity, often leads to neurologic deficits. In adults with spinal TB, the kyphotic deformity is commonly less than 30°. In children patients, kyphosis may continue to progress during the course of disease, leading to a much larger deformity. This population may require a more timely surgery. Globally, TB is a major cause of death and disability among children, especially in low-income and middle-income countries, yet children have often been neglected in TB control efforts. 5 To prevent relevant complications, spinal TB requires prompt antitubercular chemotherapy, but delays are more commonplace compared with pulmonary TB. 6 Preventive therapy for the susceptible is an effective strategy to eliminate this disease. 7 People with high-risk factors including immunodeficiency (such as human immunodeficiency virus [HIV] coinfection), malnutrition, and overcrowded living conditions, tend to be at higher risk of TB. Adolescents with spinal TB are an at-risk group for contracting and spreading TB in school. Treatment and prevention of spread, can include some social distancing, relative isolation, and the wearing of a facemask. Throughout this process, psychosocial support should not Neurospine