Background: The present study was conducted for evaluating the prevalence of Coexisting active pulmonary tuberculosis in tuberculous spondylitis patients. Materials &Methods: A total of 50 known cases of tuberculous spondylitis were included in the present study. Complete demographic and clinical details of all the patients was obtained. Only those patients were involved among which histological or microbiologically confirmed diagnosis of TB spondylitis among surgically confirmed TB spondylitis was present. Complete past medical history of all the patients was reviewed. Analysis of spine CT scans and magnetic resonance (MR) images was done for each affected level and reviewed chest plain radiographs and CTs to evaluate lung involvement in TB. All the results were recorded and were subjected to statistical analysis using SPSS software.