J Minim Invasive Spine Surg Tech.  2025 Apr;10(1):91-99. 10.21182/jmisst.2024.01739.

Exploring New Horizons: Endoscopic Innovations in Managing C4–5 Cervical Tuberculous Spondylitis (Pott Disease) with Anterior Cervical Corpectomy and Fusion (E-ACCF)

• Moeljono A
• Susanti N
• Darmawan MA
• Andika GN
• Asikin AIZ

• KMID: 2567502
• DOI: http://doi.org/10.21182/jmisst.2024.01739

Abstract

This report presents a case of cervical tuberculous spondylitis (Pott disease) in a 45-year-old woman and discusses the effectiveness of endoscopic anterior cervical corpectomy and fusion (E-ACCF) in managing spinal cord compression symptoms caused by Pott disease. A 45-year-old female patient with a fracture of the fifth cervical vertebra due to Pott disease presented with progressing tetraparesis, paresthesia below the C3 level, and incontinence during the past month. The patient underwent E-ACCF with a titanium mesh, followed by an antituberculosis therapy regimen. One month post surgery the patient showed significant improvement. She regained the ability to walk and exhibited a substantial range of motion in the shoulder and neck joints. Endoscopic procedures such as E-ACCF are effective in managing cervical tuberculous spondylitis with spinal cord compression symptoms, resulting in excellent outcomes with minimal damage to adjacent structures.

Keyword

Anterior cervical corpectomy; Spinal fusion; Endoscopy; Cervical spine; Pott disease