Tuberculosis remains high incidental disease in Korea with an estimated incidence of 2.5% in general population. Among the tuberculosis of bone, spinal tuberculosis is high incidence and curable disease, but early treatment demands early diagnosis. Authors reviewed clinical aspects of 376 cases and reviewed conventional films of 74 cases and computed tomography of 8 cases, confirmed histopathologically as spinal tuberculosis from Jan. 1976 to May 1985 at Yonsei medical center, Yonsei University: The results were as follows : 1. The frequent site of involvement were lowere thoracic and lumbar vertebra, 4 th lumbar vertera was the most common lesion site among them. 2. The seperated lesions were 10.2% among spinal lesion. 3.The most common type and pattern of bone density was intervertebral disc space were discovered more than 80% in reviewed conventional films. 5. In children, there si no predilection site. 6. Spinal computed tomography was more accurate diagnostic method than onventional study in the evaluation of following aspects : 1)extent of lesion 2) degree of spinal canal involvement 3) changes of surrounding organ