Clinical presentation: a 66-year-old patient with a history of pulmonary tuberculosis treated in 1997, declared cured, and high blood pressure present three months ago persistent neck pain with tingling and heaviness in both upper limbs. At the neurological examination, the muscular testing was normal and no sensory deficit. The American Spinal Injury Association (ASIA) score was graduated E.
Diagnosis assessment: cervical spine computed tomography (CT) showed a lytic process centered on C4 with posterior wall recession and anterior epiduritis (Figure 1). Spinal cord magnetic resonance imaging (MRI) showed a cervical lytic lesion centered on the vertebral body of C4 with spinal cord compression and epiduritis without signs of spinal cord injury (Figure 2).
Management: the patient underwent corpectomy of C3 and C4 with iliac graft and anterior cervical plate (Figure 3). Then a reinforced neck brace was applied 2 weeks after the surgery to enable consolidation. The anatomopathological examination revealed a Pott disease. The patient was put on antituberculosis chemotherapy treatment for 12 months: 2 months of Rifampicin - Isoniazid - Pyrazinamid - Ethambutol (RHZE) followed by 10 months of Rifampicin-Isoniazid (RH).
Outcomes: at discharge, 2 weeks after surgery, the patient presented the same neurological state as at admission.
Follow up: the patient was seen in outpatient three months later. No complaint was noted, and neurological examination was normal.
Declaration of patient consent: the authors certify that they have obtained all appropriate patient consent.