Skeletal Radiology

, Volume 47, Issue 5, pp 723–727 | Cite as

Unusual circumstances to diagnose cervical Pott’s disease

  • Mohamed Ali Kedous
  • Ahmed Msakni
  • Wael Chebbi
  • Mourad Zaraa
  • Mohsen Trabelsi
Case Report


Tuberculous spondylodiscitis usually affects the dorso-lumbar spine, and its cervical location is a rare condition that can mimic other diseases and consequently cause treatment delays. We report a case of tuberculous spondylodiscitis of the lower cervical spine discovered under unusual circumstances in a patient with severe polytrauma involving a cranio-cerebral trauma, a non-displaced fracture of the two laminæ and the spinous process of the C6 vertebrae as well as fibular and tibial shaft fractures. The patient underwent static tibial nailing, and a collar with occipital and chin supports was applied. At 2-month follow-up, the patient presented with severe neck pain without neurologic deficits. Plain and dynamic cervical radiographs showed a stable C6-C7 subluxation and C7 superior endplate collapse. The CT scan also outlined prevertebral soft tissue swelling. The MRI showed a C6–C7 spondylodiscitis associated with a prevertebral abscess with am 8-cm major axis. The diagnosis of C6–C7 Pott’s disease was confirmed by a CT-guided biopsy. The patient received 12 months of antituberculous chemotherapy, after which the paravertebral abscess completely disappeared, and the patient has had no functional sequelae. The diagnosis of cervical spine tuberculosis is difficult and requires a high level of attention. Delays in establishing the diagnosis and starting the appropriate treatment result in severe complications such as spinal cord compression and spinal deformity, which are difficult to manage.


Pott’s disease Tuberculosis Cervical spine CT scan MRI 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© ISS 2017

Authors and Affiliations

  1. 1.Trauma CenterBen ArousTunisia
  2. 2.Faculty of Medicine of TunisUniversity of Tunis El ManarTunisTunisia

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