Modern antituberculous drugs have enabled a high rate of disease cure in spinal tuberculosis with good healing of the lesion. Advances in imaging studies like magnetic resonance imaging has helped to diagnose spinal TB in predestructive or early destructive phase obviating the need for surgery in many cases. Though complete disease cure may be achieved with chemotherapy, patients treated conservatively have an average increase of 15o in deformity and 3 to 5% of the patients end up with a deformity greater than 60°. The basic pathology in most patients with symptomatic healed disease is the development of kyphosis. Depending on the severity of deformity, the patient can present with persistent localized pain, costopelvic impingement, secondary cardiorespiratory problems and late onset neurological deficits. Kyphotic deformities can be corrected by an anterior instrumented fusion, a combined anterior-posterior procedure or a posterior only procedure. This chapter addresses the advantages and disadvantages of each of these techniques with a brief description of the technique.