Fig. 3

A 44-year-old man with upper cervical spine TB was treated using endoscopy-assisted anterior cervical debridement combined with posterior fixation and fusion. A preoperative lateral X-ray film (a), MRI (b), and CT (c) show C1/2 vertebral destruction, spinal cord compression, and abscess formation. A postoperative X-ray (d) shows satisfactory posterior occipital-cervical fixation and a well-corrected cervical vertebral sequence. CT (e) shows that the bone block is well placed. At the final follow-up at 60 months postoperatively, a radiograph (f) shows well-placed fixation, and CT (g) shows solid bony union. MRI (h) shows no abscess formation and no spinal cord compression