The incidence of the following MRI ﬁndings was signiﬁcantly higher in patients with spinal metastasis than in those with tuberculous spondylitis (p<0.05): involvement of more than two vertebral bodies (22.2% vs 0%), a convex posterior border of the vertebral bodies (66.7% vs 0%), abnormal signal intensity and enlargement of the posterior elements (73.3% vs 5.4%), sparing of the intervertebral discs (93.3% vs 16.2%).