Figure 7

Patient with failure of segmentation with clinical and radiological improvement due to conservative treatment. This 15 years old boy presented at the age of 9, with congenital scoliosis with rib synostosis due to failure of segmentation, before entering the pubertal growth spurt. During his last follow - up, his clinical appearance demonstrates a severe deformity. The radiographs demonstrate a scoliotic curve of 59 degrees with Risser sign 4. VC was 1.640 ml, 33% of the predicted value.