Spinal tuberculosis continues to be a problem that causes spinal deformity and neurological deficits in the developing world. Anti-tuberculosis treatment is the basic approach. However, surgical treatment is required in patients with neurological deficit, mechanical instability and kyphosis causing sagittal imbalance, inadequate response to medical treatment, deterioration in neurological status during medical treatment, any paradoxical enlargement of the lesion in MRI follow-ups, and intolerance to drugs used in chemotherapy. In the literature, surgical procedures such as anterior decompression and instrumentation, posterior decompression and stabilization, combined approaches, vertebral column resection (VCR), minimally invasive approaches have been described.