Results: The incidence of the following MRI ﬁndings was signiﬁcantly higher in patients with tuberculous spondylitis than in those with spinal metastasis (p<0.05): end plate disruption (91.9% vs 8.9%), rim enhancement of vertebral lesions (45.9% vs 0%) and intervertebral discs (75.7% vs 2.2%), the epidural and paravertebral lesions spread to more than two vertebral levels (54% and 54.1% vs 0% and 6.7%) and enhance peripherally (86.5% and 78.4% vs 2.2% and 0%).