Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Aug 22:42:299.
doi: 10.11604/pamj.2022.42.299.33951. eCollection 2022.

Cervical Pott's disease: case report and review of the literature

Affiliations
Review

Cervical Pott's disease: case report and review of the literature

Dognon Kossi François de Paule Adjiou et al. Pan Afr Med J. .

Abstract

Tuberculosis is a major public health problem in the world. Spinal tuberculosis (Pott disease) is a frequently encountered extrapulmonary form of the disease. Cervical spinal tuberculosis is relatively rare. We report the case of a 66-year-old patient admitted for cervical Pott's disease managed surgically and the positive outcome. A patient with a history of pulmonary tuberculosis present 3 months ago persistent neck pain with tingling and heaviness in both upper limbs. The neurological examination was normal without any sensory or motor deficit. Spinal cord magnetic resonance imaging (MRI) showed a lesion centered on the vertebral body of C4 with spinal cord compression and epiduritis without signs of spinal cord injury. The patient underwent a corpectomy of C3 and C4 with an iliac graft and anterior cervical plate. The anatomopathological examination revealed a Pott disease. He was therefore put on antituberculous chemotherapy for 12 months. Three months later the neck pain and tingling disappeared in the upper limbs. Cervical Pott's disease is relatively rare. Surgical management is indicated in the case of spinal instability or spinal cord compression.

Keywords: Tuberculosis; case report; management; spinal.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
(A,B,C) cervical spine CT, lytic process centered on C4 with posterior wall recession
Figure 2
Figure 2
(A,B) spinal cord MRI, cervical lytic lesion on the vertebral body of C4 with spinal cord compression and epiduritis
Figure 3
Figure 3
(A,B) corpectomy of C3 and C4 with iliac graft and anterior cervical plate

References

    1. Dunn RN, Ben Husien M. Spinal tuberculosis: review of current management. Bone Jt J. 2018;100B(4):425–31. - PubMed
    1. Yin XH, He BR, Liu ZK, Hao DJ. The clinical outcomes and surgical strategy for cervical spine tuberculosis: a retrospective study in 78 cases. Medicine (Baltimore) 2018;97(27):e11401. - PMC - PubMed
    1. Bhandari A, Garg RK, Malhotra HS, Verma R, Singh MK, Jain A, et al. Outcome assessment in conservatively managed patients with cervical spine tuberculosis. Spinal Cord. 2014;52(6):489–93. - PubMed
    1. Ali A, Musbahi O, White VLC, Montgomery AS. Spinal tuberculosis: a literature review. JBJS Rev. 2019;7(1):e9. - PubMed
    1. Shetty AP, Viswanathan VK, Rajasekaran S. Cervical spine TB-current concepts in management. J Orthop Surg. 2021;29(1_suppl):23094990211006936. - PubMed