The authors present a case report on a 25-year-old female patient with the tuberculous spondylitis of 2nd cervical vertebra. For the treatment they choose a two-stage surgical procedure. Within the first stage they removed transorally the focus and filled in the defect in the body of the vertebra with autospongy bone grafts. In the second stage they stabilized the spine from the dorsal approach. Postoperative treatment in the plaster of Paris collar lasted three months. Thus the disease was quickly eliminated.