A 16-year-old girl presented with grade 1 paraplegia with clonus. X-rays show the destruction of C7-T1. CT and MRI show the extensive destruction of vertebral bodies with an epidural collection. USG guided aspiration and AFB Stain done to confirm the diagnosis of TB of the cervical spine.

Case managed with anterior corpectomy (removal of vertebral bodies) through the anterior cervical approach and tricortical strut graft placed to bridge the gap and since long plates are not available 2 plates used to stabilise the graft. The patient is recovering well with post-op grade 5 power and intact sensations.