Five patients diagnosed with spinal TB with the average age are 25.8 years old, and included two males and three females [Table 1]. Four patients presented with paraparesis and one patient presented with low back pain that radiates to both legs. MR studies showed hypointense to isointense lesion in T1-weighted images and isohyperintense and hyperintense lesion in T2-wighted images [Figures 1-5]. CT scan showed destruction of vertebral body, pathological fracture, and kyphotic deformity [Figure 6]. Intervention given includes laminectomy debridement and decompression with or without posterior stabilization. Postoperatively, two patients demonstrated partial recoveries of neurological function and three patients demonstrated full recoveries of neurological function. Postoperative MRI/CT demonstrated progressive bony healing with improvement of deformity.