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  4. Cervical Pott’s disease: case report and review of the literature

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

Pan African Medical Journal, 2022 · DOI: 10.11604/pamj.2022.42.299.33951 · Published: August 22, 2022

ImmunologySurgerySpinal Disorders

Simple Explanation

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.

Study Duration
Not specified
Participants
One 66-year-old patient
Evidence Level
Level 4; Case Report and Literature Review

Key Findings

  • 1
    A 66-year-old patient with a history of pulmonary tuberculosis presented with cervical Pott's disease, characterized by neck pain, tingling, and heaviness in the upper limbs.
  • 2
    MRI revealed a lesion centered on the C4 vertebral body, causing spinal cord compression and epiduritis, leading to surgical intervention.
  • 3
    Surgical intervention, including corpectomy of C3 and C4 with iliac graft and anterior cervical plate, combined with 12 months of antituberculous chemotherapy, resulted in symptom resolution three months post-surgery.

Research Summary

This case report highlights a rare presentation of cervical Pott's disease in a 66-year-old patient with a history of pulmonary tuberculosis. The patient underwent surgical management involving corpectomy and fusion, followed by antituberculous chemotherapy, leading to a positive outcome. The report emphasizes the importance of early diagnosis and appropriate management, including surgical intervention when indicated by spinal instability or cord compression, for cervical Pott's disease.

Practical Implications

Early Diagnosis

Prompt diagnosis and investigation are crucial to prevent neurological deficits due to epidural compression or spinal instability.

Surgical Intervention

Surgical management, particularly anterior approach, is indicated for patients with spinal instability or spinal cord compression.

Combined Treatment

Combining surgical intervention with anti-TB treatments leads to favorable outcomes, especially when managed early.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Lack of long-term follow-up data.
  • 3
    Review of literature may not be exhaustive.

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