Cervical Spine Tuberculosis 55 year female presented with severe Neck Pain with Arm pain and difficulty in walking for last 6 months. She was not able to walk without support. Her MRI showed C34 destruction with abscesses suggestive of Spinal Tuberculosis. She was operated by Anterior cervical approach and pus drained. Infected bone was removed and a Titanium Cage and plate was applied. She improved significantly. TB culture confired Mycobacterium Tuberculosis. She took ATT drugs for 9 months. Final MRI showed complete resolution of disease.