Objective:To screen,evaluate,refine,and summarize the relevant evidence of nutritional management for patients with spinal tuberculosis,aiming to provide a strong reference for clinically formulating evidence-based nutritional management strategies for spinal tuberculosis patients.Methods:Adopting the concept of evidence-based nursing,the PIPOST problem of nutritional management for spinal tuberculosis patients was clarified,and domestic and foreign databases and professional association websites were systematically searched,with the search time range set from the establishment of the database to July 31,2023.Subsequently,literature closely related to nutritional management of spinal tuberculosis was screened out,and the included literature was rigorously evaluated for quality and evidence level,thereby refining the best evidence.Results:A total of 9 articles were included in this study,covering 1 guideline,2 systematic reviews,1 randomized controlled trial,2 cohort studies,1 case-control study,and 2 expert opinions.Through in-depth analysis of these articles,we summarized a total of 18 pieces of best evidence in four key areas,specifically including the assessment and screening of nutritional risk,identification of risk factors,nutritional support programs,and nutritional monitoring strategies for spinal tuberculosis patients.Conclusion:The relevant evidence of nutritional management for spinal tuberculosis patients provides a solid evidence-based foundation for clinical practice,helping to formulate more scientific and reasonable nutritional management programs,thereby optimizing the treatment effect and quality of life of spinal tuberculosis patients.