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Twenty six children with tuberculosis of spine, 16 of them with neural deficit were treated by anterior radical excision and inter body bone grafting. All the patient with paraplegia recovered by 5 to 16 months except 2 who were lost to follow up. Non paraplegia patients were mobilized at 5 months. This procedure helped in early cure with bony fusion, quick recovery from spinal cord dysfunction when associated with pressure on the spinal cord and prevented progressive vertebral destruction responsible for kyphotic deformity.