TB Research

Complete Resolution of Quadriparesis Following Fixation Surgery of Cervical Spine Pott's Disease: A Case Report.

Shafi Ullah Zahid, Ahmad Khan, Hasibullah Aminpoor, Mohammad Jaweed

Research Square · 2023-10

Abstract

Abstract Tuberculous spondylitis, also known as Pott’s disease, is due to infection of spine by mycobacterium tuberculosis (MTB) leading to vertebral body and inter-vertebral disc destruction. It is the most common form of musculoskeletal tuberculosis less frequently affecting the cervical spine however, the thoracolumbar spine is the commonest among the younger population. The onset of this condition is insidious, and its clinical presentation is non-specific. However, Pott’s disease may be complicated by neurologic deficits including paraplegia or even quadriplegia, with huge health, economic and psychological burden. We are reporting a case of Pott’s disease involving the cervical spine (C5/C6) in a 50-year-old man who presented with unusually quadriparesis and severe neck tenderness on touch. Early decompression surgery and fixation, thus limiting its complications which achieved complete resolution of symptoms following a 12-month course of anti-tuberculosis medication.

MeSH terms

  • Medicine
  • Tuberculosis
  • Surgery
  • Paraplegia
  • Spondylitis
  • Disease
  • Kyphosis
  • Decompression