Pott Disease in the Thoracolumbar Spine With Marked Kyphosis and Progressive Paraplegia Necessitating Posterior Vertebral Column Resection and Anterior Reconstruction With a Cage

Abstract

A 70-year-old patient with progressive Pott paraplegia and severe kyphotic deformity, for whom medical treatment failed is presented. A posterior vertebral column resection, multiple level posterior decompression, and instrumented fusion, followed by an anterior interbody fusion with cage was used to decompress the spinal cord, restore sagittal alignment, and debride the infection. At 6-month follow-up, the patient obtained excellent pain relief, correction of deformity, elimination of the tuberculous foci, and significant recovery of neurologic function.