*Communications Physics*4,221.

Classical structured light with controlled polarization and orbital angular momentum (OAM)of electromagnetic waves has varied applications in optical trapping, bio-sensing, optical communications, and quantum simulations. However, quantum noise and photon statistics of three-dimensional photonic angular momentum are relatively less explored. Here, we develop a quantum framework and put forth the concept of quantum structured light for space-time wavepackets at the single-photon level. Our work deals with three-dimensional angular momentum observables for twisted quantum pulses beyond scalar-field theory as well as the paraxial approximation. We show that the spin density generates modulated helical texture and exhibits distinct photon statistics for Fock-state vs. coherent-state twisted pulses. We introduce the quantum correlator of photon spin density to characterize nonlocal spin noise providing a rigorous parallel with electronic spin noise. Our work can lead to quantum spin-OAM physics in twisted single-photon pulses and opens explorations for phases of light with long-range spin order.