Pan African Medical Journal, 2022 · DOI: 10.11604/pamj.2022.42.299.33951 · Published: August 22, 2022
Tuberculosis remains a significant global health concern, with spinal tuberculosis being a common manifestation outside the lungs. Cervical spinal tuberculosis, however, is relatively rare. The case involves a 66-year-old patient who had previously been treated for pulmonary tuberculosis and presented with persistent neck pain and upper limb symptoms. The patient underwent surgical intervention and experienced a positive outcome. Surgical management is recommended when there is spinal instability or compression of the spinal cord. The patient underwent corpectomy of C3 and C4 with iliac graft and anterior cervical plate.
Prompt diagnosis and investigation are crucial to prevent neurological deficits due to epidural compression or spinal instability.
Surgical management, particularly anterior approach, is indicated for patients with spinal instability or spinal cord compression.
Combining surgical intervention with anti-TB treatments leads to favorable outcomes, especially when managed early.