# Pott's Spine Unveiled: A Comprehensive Case Report and Surgical Intervention

## TL;DR

A 61-year-old woman with neck pain and weakness was diagnosed with spinal tuberculosis and successfully treated with surgery and medication.

## Contribution

This case highlights the diagnostic and therapeutic approach to spinal tuberculosis with surgical intervention and postoperative care.

## Key findings

- The patient showed restricted neck movement and neurological deficits consistent with spinal infection.
- MRI confirmed vertebral osteomyelitis and discitis at C5-C6, suggesting tuberculosis spondylitis.
- Surgical decompression and fusion, combined with antibiotics and anti-tubercular treatment, led to satisfactory recovery.

## Abstract

This case report describes the presentation, diagnosis, and surgical management of a 61-year-old female admitted to a tertiary care hospital with a two-month history of neck pain and weakness in all four limbs. Despite the absence of a clear history of trauma, a detailed examination revealed restricted neck flexion, paraspinal muscle spasm, and neurological deficits. Contrast-enhanced MRI indicated vertebral osteomyelitis and discitis at the C5-C6 level, with a suspected infective etiology, possibly tuberculosis spondylitis. The patient underwent anterior cervical decompression, corpectomy of C5-C6, and fusion of C4-C7. Postoperative management included intravenous antibiotics, physiotherapy, and anti-tubercular treatment. The patient exhibited satisfactory recovery, and this case underscores the importance of comprehensive evaluation and prompt intervention in managing complex spinal infections.