To improve the accuracy in distinguishing between Tuberculosis Spondylitis (TBS) and Brucella spondylitis (BS) through the creation of radiomics deep Learning models. These models incorporate Deep Learning techniques and leverage CT image enhanced by Generative Adversarial Network-based Super-Resolution (GAN-SR).94 patients from Ordos Central and Second People's Hospitals diagnosed with BS or TBS. These patients were divided into a training set (n = 65) and a validation set (n = 29). We utilized conventional CT images to generate SR-CT with twice SR based on GANs-SR. The ROIs underwent manual segmentation, and extraction of Radiomics features, and ResNet18 and ResNet34 were used as Deep Learning models for training and DL feature extraction. Feature fusion and selected were performed, and four models were built based on MLP: clinical; radiomics (Rad); Deep Learning (DL) and combined models. The model efficacy was evaluated using ROC and DCA, etc. In terms of efficacy, the integrated model outperformed others, showing the highest AUC, with the DL model following closely behind. Notably, ResNet34 demonstrated superior performance over ResNet18, SR enhanced model performance across metrics for SR-CT compared to CT. The combination of Rad + ResNet34_SR achieved the best results, with AUC of 0.952, Sensitivity of 0.909, and Specificity of 0.941. DCA curve confirmed the model's clinical decision-making potential.In conclusion, our study creates a 3D Super-Resolution model based on SR-CT images using Deep Learning Radiomics to differentiate between TBS and BS, which is significantly enhanced compared to CT images.