The incidence of neurological involvement in Pott’s disease, particularly if thoracic spine is involved, is 10 to 20% in highly developed nations and 20 to 41% in underdeveloped countries. The highest reported incidence of neurological complications in a series of tuberculous spine is 60.7% and the lowest is 10%. However, in the last 50 years, the incidence of tuberculosis of spine has varied, but the percentile incidence of paraplegia has not reduced once the spine is affected. The thoracic spine is affected in 50% cases of spinal tuberculosis while lumbar and cervical spine are involved in another 40% cases. Paraplegia rarely occurs in a tuberculous affection below the first lumbar vertebra as cord terminates at L1 where the spinal canal is capacious and contains only the cauda equine. More than 40% cases of cervical spine tuberculosis have neurological complications (slightly more than thoracic spine), but this segment is less commonly affected than thoracic spine.