Clinical presentations of TB spine In Thoracic Spine disease, usually both lower limbs are affected (Paraparesis or paraplegia). The paralysis of the limbs may be with or without Bowel and bladder involvement. In lumbar spine affection, the paraplegia is of lower motor neuron lower motor neuron type. The Paraplegia / Paraparesis can be treated conservatively , if no response with Tubercular drugs then may require surgical intervention.