Upper Lumbar Tubercular Spondylodiscitis Presenting with Conus Medullaris Syndrome a Rare Entity

Tubercular spondylodiscitis is a rare cause of spinal infection, and its association with Conus medullaris syndrome is even less common. We report the case of a 35 - year - old female presenting with low back pain radiating to the left lower limb, urinary incontinence, and neurological deficits. MRI findings suggested tubercular spondylodiscitis at the L1 - L2 level with paravertebral collections and spinal canal narrowing. The patient underwent posterior spinal stabilization with decompression and discectomy, followed by antitubercular therapy (ATT). Postoperative recovery was uneventful, with significant symptomatic improvement. This case highlights the importance of multidisciplinary management for successful outcomes in rare spinal infections.