Abstract: Tuberculosis (TB) is a necrotizing bacterial infection with protean
manifestations. Skeletal TB accounts for 2–20% of all extra pulmonary cases in various
studies and spinal TB is the most common form of skeletal involvement by TB
(about half the cases of skeletal TB). It is predominantly a disease of the
young adults. However, there is no exact data for its incidence in the
pediatric population. Spinal TB is an unusual presentation before the age of 5
years. Here we report three different presentations of spinal TB presenting in the very early age.