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case_images: Local Status of the patient's back, showing severe kyphotic of 81 .
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case_images: Physical examination showed asymmetrical back with gibbus appearance without any apparent wound (Fig. 1), patient also felt tenderness upon palpation with VAS 1-2 on thoracal region.
case_images: Radiologic examination on the patient, (A) thoracolumbal view of plain radiographic, (b) Sagittal view of non-contrast cervicothoracal MRI, (c) Sagittal view of cervicothoracal CT Scan.
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case_images: From these workups, patient was diagnosed with paraplegia due to tuberculous spondylitis of C7-Th2 Frankel B with paravertebral abscess and kyphotic deformity (Fig. 2).
case_images: Intraoperative image of Total Treatment VI management. (a) Exposure of Cervicothoracal, (b) pedicle screw insertion, (c) Laminectomy of C7-T5, (d) Ponte Osteotomy, (e) Deep specimen and biopsy, (f) Rod insertion and cantilever technique, (g) Final construct.
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case_images: Afterwards, patient underwent Total Treatment VI series of treatment, which consist of Debridement, Abscess evacuation, Deep specimen culture and biopsy, Open decompression of C7-T2 and Posterior stabilization C5-C6, T3-T4, deformity correction (Fig. 3).
case_images: Postoperative use of SOMI Brace application.
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case_images: Following the surgery, the physician applied Sternal Occipital Mandibular Immobilizer (SOMI) brace (Fig. 4).
case_images: Postoperative X-ray of the cervical and thoracal, AP and lateral.
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case_images: The postoperative radiography revealed posterior stabilization devices spanning from C5-C6, and the kyphotic angle decreased by 7o from 70o preoperatively to 63o (Figs. 5, 6).
case_images: Preoperative and postoperative comparison of kyphotic angle, whereby preoperative kyphotic angle was 70  and postoperative kyphotic angle reached 63 .
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case_images: The postoperative radiography revealed posterior stabilization devices spanning from C5-C6, and the kyphotic angle decreased by 7o from 70o preoperatively to 63o (Figs. 5, 6).