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Tuberculosis (T is a type of infectious illness that impacts the spine within just 1% of cases and is more prevalent within the thoracolumbar and seldom cervical spine. Herein, for the first time, we report tuberculosis illness in adjacent portions after ACDF. We report a 50-year-old patient with cervical spondylotic myelopathy (CSM) who had been released through the medical center after getting ACDF during the C3/4 amo