PURPOSE: To assess the neurological recovery in patients who underwent anterior debridement, fusion and posterior instrumentation and early rehabilitation. To assess the incidence of graft related complications. To study the extent of deformity correction and maintenance in these patients METHODS: A prospective follow up of a cohort of patients who underwent combined anterior (anterior debridement and bone grafting) and posterior (posterior instrumentation and fusion) surgery was done IN LALITHA HOSPITAL GUNTUR in a period of aug 2018 to aug 2019 RESULTS. This study was done over a 1 year period from 2018 AUG– 2019 AUG.Of the 76 patients with tuberculosis of the spine 30 patients with Frankel A,B and C grade neurological deficits were included in the study. One patient had a follow up of only 2 months and thus was excluded from the post operative evaluation. CONCLUSION: In the cohort that was studied 89.6% showed good neurological recovery, the average loss of correction was 6.98° (0.20 to 35.90°) and the complication rate was reasonable. We conclude that Single stage anterior debridement, decompression and fusion with strut grafting and posterior stabilization and fusion permits early ambulation, shortens hospital stay and allows early rehabilitation. It does not interfere with neurological recovery. It allows deformity correction and maintains this correction at long term follow up.