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Isolated posterior spinal (element) tuberculosis (T is uncommon compared to classical anterior spinal or para-discal TB. Here, we report magnetic resonance imaging (MRI) findings of posterior spinal TB in 19 patients without involvement of the vertebral body and intervertebral disc. To evaluate the MRI findings in isolated posterior spinal (element) TB. Clinical and MRI data of 19 patients of isolated posterior spinal TB were retrospectively evaluated. Of the 19 patients, group A comprised 4 (21%) patients with rapid onset lower limb