The results in the first 50 clinical cases, 5 to 65 years old who had debridement and anterior spinal fusion for Pott's disease at the Orthopaedic department of Faculty of Medicine of Ankara University and Çankaya Hospital, Ankara, between1964-1974 were reviewed retrospectively after fallow - ups from 1 to 10 years. The duration of symptoms prior to admission ranged İrom 3 months to five years. Forty three of the 50 cases had paraplegia and were first seen 1 month to 24 months andavarage 9.3 months after the onset of their neural symptoms. In the forty three patients with paraplegia, the causes of neural compression were found as: Bone seguestrum, caseous material pus, a seguestrated disc, a protruding ridge of bone produce by kyphoscoliosis, pachymeningitis and pus within the dura.In our 50 clinical cases, after fallow-ups one to ten years, 37 (%74) patients showed solid fusion and healing of the tuberculous lesion, In 5 (%10) there was stabil non-unions and apperent healing of the disease. The remaining 8 (%16) were classified as having unstabl non - unions requiring further treatment. Post operatively an apperant increase of kyphosis, as determined roentgencgraphically avarage ıncrease of 22.2 degreeswere notted. The causes of increasing kyphosis were slippage of the grafts, protrusion of the grafts into osteoporotic vertebral body and disc spaces, fracture of the grafts and overgrowth ofthe posterior part of the fusion mass.The post operative complications were : 3 superficial infections, 1 deep infections 10 fractures of the graft, 5 slippage of the graft, 4 post operative paralytic ileus (temporary) 1 cardiac arrest (a three year old boy had cardiac arrest right after theoperation, while transfering to strecher. Unfortunately he passed away).The fallowing conclusions are offered:1. The anterior approach gives direct, wide access to the diseased area and it is prossible to remove all pathological foci radicaliy.2. Early decompression and anterior fusion is essential to avold further destruction which may result in severe kyphosis, paraplegia and impairment of cardiopulmonary function.3 — Only and definite treatment of Pott's paraplegia can be obtained by anterior decompression and fusion.4. In severe kyphotic cases, decompression of spinal cordshould be made through the postero -lateral approach.5. An anterior interbody spinal fusion between more than two vertebral segments may cause instability and subluxation. In this kind of cases, a second operation, posterior fusion is employed 6 weeks later.6. In the treatment of Pott's disease, evacuation of the contents of the abcess, combined with removal of all avascular bone and anterior fusion using strut grafts has given results superior to those obtained by other methods.