Multifocal extensive spinal tuberculosis (Pott's disease) involving cervical, thoracic and lumbar vertebrae

An unusual case is reported of a 53-year-old woman presenting with spinal t uberculosis involving cervical, thoracic and lumbar vertebrae. The patient originally presented with progressive quadriparesis, fever, night sweats an d weight loss. Imaging studies demonstrated vertebral body destruction with and without paraspinal and/or intraspinal abscess in cervical, thoracic an d lumbar regions. The laboratory studies confirmed the diagnosis of Pott's disease and the patient was placed on anti-tuberculosis chemotherapy. The a nterior approach was used for removal of the infected necrotic material, bo ne grafting and instrumentation, in both cervical and thoracic vertebrae. T he postoperative course was uneventful and the patient made an excellent ne urological recovery. The present report is of the first published case of a n extensive spinal tuberculosis involving cervical, thoracic and lumbar spi ne.