Background: Tuberculosis is a very common disease affecting the impoverished and is a source of morbidity causing significant burden to the society. Involvement of the spine is fairly common and it causes significant discomfort to the patient affecting their quality of life. Definite role of surgery continues to be debatable in the era of novel ATT drugs. Objective: To define the role of surgery in TB spine and to assess outcome in terms of symptom relief. Methods: Forty patients with TB Spine who were admitted in our department were retrospectively evaluated thoroughly and the outcome of both conservative treatment and surgical management was analyzed. Results: Dorsolumbar TB was the commonest site of involvement and among those cases, 3 patients had demonstrable pulmonary lesions. Surgery gave good neurological outcome in cases that presented with deficits and for cases that didn’t respond to ATT. Conclusions: Surgery continues to be a mainstay in treatment of TB spine and we had successful outcome in our observation.

Keywords: Pott’s Spine; TB Spine; Posterior Stabilization for TB Spine; Spinal Fusion for TB Spine; Management of TB Spine.