Background :  The syndrome of low backache with or without neurological deficit is a common diagnostic problem, an orthopedic surgeon faces in daily practice. In india tuberculosis itself is the commonest infection. It is common in males as compared to females. Common clinical manifestations in tuberculous lesion . Mylography detects earlier block in contrast column hence helpful in deciding management of the patient which will prove to be specific and cost effective instead of subjecting the victims to multiple investigations.  So the purpose of the study was to compare conventional versus CT myelography in Lumbar tuberculosis. Materials and Methods: The present study included 80 patients who clinically presented with complains ranging from low backache to paraplegia, with or without bladder involvement and who were clinically considered to have compressive myelopathy. All the above patients were subjected to conventional myelographic  evaluation .Then the patient was subjected to CT scan evaluation of the lumbar spine by taking sequential sections on Spiral CT Scan unit. Results : Only 5 out of 80 patients were observed suffering from tuberculous lesion of lumbar spine. Out of these 5, 2 patients were between 51–60 years of age and 1 each in 21–30, 31–40 and 41–50 years of age. All the patients were males.  Loss of definition of end plate margins, was detected in 5 patients by both myelographies (CT myelography and Conventional myelography). Conclusion: Conventional myelography proves superior in appreciating the reduction in the height of vertebral bodies, disc spaces, depicting the  lesions and in extending the information pertinent to the deviations in the spinal curves.