Tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis. Extrapulmonary TB is the tuberculosis involving organs other than the lungs. Osteoartıcular TB accounts for 10-35% of extrapulmonary TB cases reported in the world. Spinal tuberculosis accounts for 1-2% of all cases of TB. It spreads through hematogenous route. The most frequently affected part of the vertebral column is thoracic region. There is destruction of the intervertebral disk space and the adjacent vertebral bodies, collapse of the spinal elements, and anterior wedging leading to kyphosis and gibbus formation. Clinically, it presents with constitutional symptoms, back pain, spinal tenderness, paraplegia, and spinal deformities. The most common symptom reported is back pain. The worst complications of spinal tuberculosis are neurological deficits and spinal deformities. With early diagnosis and early treatment, the development of complications is prevented and the prognosis is better. The presence of characteristic radiological images as well as clinical suspicion suggests the diagnosis of tuberculosis. The diagnosis of spinal TB should be established by microbiological, pathological and molecular diagnostic tests. Isolation of Mycobacterium tuberculosis in the culture of infected material is considered the gold standard in diagnosis. Among radiological modalities MRI is the best diagnostic modality for spinal TB and is more sensitive than the other radiological methods. Conservative treatment of spinal tuberculosis includes initiation of anti-tuberculosis treatment, limitation of activity, and immobilization with a corset. Antituberculous treatment remains the mainstay of treatment especially for those who are diagnosed early. Surgery may be required in selected cases.