Tuberculosis is a common diagnosis in india. Bones especially spine is the most common site of extra pulmonary involvement. ATT is very very effective in these cases. What is most essential is to have good nutritional support along with. Also the patient should be strictly on the bed untill signs of recovery are seen on consultation with orthopaedic surgeon. In case of no improvement in symptoms, worse ing of symptoms and increasing neurological deficit, immediately consult your orthopaedic. Keep close watch over disease activity and keep consulting your doctor.