Ms. Ma, 45, began to experience mild neck pulling headache more than a month ago. “At first, I didn’t pay attention to the pain because I could relieve it with a little movement,” Ms. Ma said. However, the symptoms recurred and the pain worsened, and Ms. Ma was diagnosed with cervical spondylosis at a local hospital, and her symptoms were not significantly relieved after physical therapy. Half a month ago, Ms. Ma was diagnosed with cervical spine tuberculosis at the Second Affiliated Hospital of Heavy Medicine for low-grade fever and night sweats, and was treated with oral anti-tuberculosis drugs. Regarding cervical spine tuberculosis, cervical spine with rich blood flow not only has low morbidity, but also has fast lesion absorption and strong repair ability. Therefore, many cases can be cured by non-surgical treatment. However, Ms. Ma’s “cervical spine tuberculosis” condition appeared ten days ago with weakness of the left upper limb, dizziness, headache, nausea, vomiting and other discomforts. In order to get better treatment, Ms. Ma found Prof. Yan, the chief psychiatrist of the Department of Psychosurgery at the First Affiliated Hospital of Chongqing Medical University. Professor Yan initially diagnosed Ms. Ma with cervical 4-5 vertebral union; spinal cord compression after understanding her condition. The patient needed surgery as soon as possible. After detailed communication with Ms. Ma, Professor Yen informed her of the risks and necessity of the surgery. Ms. Ma agreed to the surgery. The surgery was scheduled for April 21, 2015 and lasted 4 hours and 50 minutes. During the surgery, Ms. Ma’s disc tissue had been completely eroded and absorbed by the lesion. It was tightly bonded to the surrounding tissues and there was no obvious demarcation with a rich blood supply. Prof. Yan carefully resected the lesion under the microscope, subtotally removed the C4 and C5 vertebrae, and resected the C3-4 and C5-6 intervertebral discs. When she arrived at the anterior part of the spinal canal, she saw that the lesion had already grown to the posterior part of the vertebral body outside the dura mater, and reached the C4-5 vertebral body level, compressing the dural sac, and extensively adhering to the dura mater. The adhesions could only be separated carefully and the lesion was excised. However, intraoperative freezing suggested a large amount of inflammatory cell infiltration in the lesion tissue, which could not be excluded from binding, so Prof. Yan used local streptomycin solution to rinse and placed streptomycin-infiltrated gelatin sponges. A titanium cage with autogenous bone + artificial bone was placed between Ms. Ma’s C3-C6 vertebrae for implant fusion. Four-hole plates + screws were fixed to the C3 and C6 vertebrae. Because Ms. Ma’s lesions were large and had severe adhesions, a C-arm X-ray machine was used to guide the surgery with continuous neurophysiological monitoring. The entire procedure was successfully completed with adequate decompression of the anterior cervical spinal canal, no damage to the dura mater, and little bleeding and no blood transfusion. On May 5, 2015, Ms. Ma was discharged from the hospital accompanied by her family for further recuperation at home. Before being discharged from the hospital, Ms. Ma’s daughter, who had just started college, held Professor Yan’s hand and said excitedly, “Thank you, Dr. Yan, for saving my mother. Prof. Yan suggested that the patient should continue to use anti-TB drugs after the operation and formulate an appropriate chemotherapy program and drug duration according to the patient’s own condition and the degree of stabilization of the lesion. In order to prevent infection, anti-infection drugs can be taken after surgery under medical advice. Review liver and kidney function, blood sedimentation and X-ray film on time to know the healing of lesions and stabilization of lesions. Encourage patients to build up confidence to overcome the disease and strengthen functional exercise.