This report presents a case of cervical tuberculous spondylitis (Pott disease) in a 45-year-old woman and discusses the effectiveness of endoscopic anterior cervical corpectomy and fusion (E-ACCF) in managing spinal cord compression symptoms caused by Pott disease. A 45-year-old female patient with a fracture of the fifth cervical vertebra due to Pott disease presented with progressing tetraparesis, paresthesia below the C3 level, and incontinence during the past month. The patient underwent E-ACCF with a titanium mesh, followed by an antituberculosis therapy regimen. One month post surgery the patient showed significant improvement. She regained the ability to walk and exhibited a substantial range of motion in the shoulder and neck joints. Endoscopic procedures such as E-ACCF are effective in managing cervical tuberculous spondylitis with spinal cord compression symptoms, resulting in excellent outcomes with minimal damage to adjacent structures.