The purpose of this study was to evaluate the role of MRI and X-RAY in congenital spinal anomalies. Methods: This study aimed at diagnosing up cases of congenital spinal anomalies in the department of Radio diagnosis of SBKS Medical Institute & Research Centre and Dhiraj general hospital. The study was performed using X-rays and MRI. Results: Most common age group in my study was neonatal age group (<28 days) & children age group (1-10 years), with same incidence rate of 22.85%, when congenital spinal anomalies were studied and diagnosed. The male: female ratio was about 1:1 and no significant difference noted. In this study the most common spinal region involved in congenital anomalies is lumbosacral, out of 35 cases, 15 patients had lesion in lumbar & sacral spine (42.85%), followed by cervical spine 11 cases (31.42%), then dorsal spine 9 cases (26%). Most common congenital spine disease encountered in this study was meningocele, meningomyelocele, lipomeningomyelocele 4 cases (11.42%), 4 cases (11.42%). Total no. of patients in which spinal cord anomalies detected are 29 out of 35 patients (82%), 11 patients having myelomeningocele, 10 patients diagnosed as tethered cord, 5 patients diagnosed syrinx, 11 patients 3 patients diagnosed diastematomyelia and 6 patients have no cord involvement. Conclusion: This study showed the proportion of patients suffering from various types of congenital spinal anomalies. It also showed the effectiveness of the imaging and clinical presentation in making the correct diagnosis. In many patients clinical diagnosis is usually present but imaging reinforces the diagnosis in many cases. So, MRI& X RAY imaging plays an important role in early diagnosis and prompt treatment of patients with these disorders.