Successful surgical management and complete resolution of quadriparesis in cervical spine Pott’s disease: a case report from Afghanistan

Cervical spine tuberculosis, or Pott's disease, presenting with quadriparesis is a rare but severe manifestation requiring prompt intervention to prevent irreversible neurological deficits. We present a case of a 50-year-old male who presented with progressive neck pain, quadriparesis, and fever, diagnosed with cervical spine Pott's disease. Diagnostic workup included clinical evaluation, laboratory tests revealing elevated inflammatory markers, and imaging studies demonstrating severe kyphotic deformity and spinal cord compression at C5–C7 levels. Surgical intervention was performed after initial stabilization with a Philadelphia Collar, involving anterior cervical corpectomy, decompression, and stabilization with titanium implants. Postoperatively, the patient experienced significant improvement in neck pain and gradual resolution of quadriparesis. Follow-up imaging confirmed successful placement of surgical hardware and complete resolution of spinal cord compression. A 12-month course of anti-tuberculosis medication was administered to eradicate the infection. This case underscores the effectiveness of timely surgical intervention in managing severe cervical spine tuberculosis with quadriparesis, highlighting the importance of multidisciplinary care and comprehensive treatment strategies for optimal patient outcomes. "Prompt surgical intervention in cervical spine Pott's disease with quadriparesis can lead to full neurological recovery and spinal stability. Early diagnosis and multidisciplinary management, including surgery and anti-tuberculous therapy, are crucial for optimal outcomes in patients with severe spinal tuberculosis."