a: 14 year old girl with 65 degree Lenke 1 curve which bends down to 35 degrees; ideal for “bone-on-bone”. b: excellent correction in both planes, over 3 fewer fused levels than the measured Cobb angle on the standing film and entire instrumentation within the thoracic spine. It is functionally beneficial for the patient to avoid instrumentation of the thoracolumbar junction if possible, particularly if they have athletic aspirations or will engage in blue collar occupations. c: clinical photos of same patient at pre-op, 6 wk. and 2 yr. follow-up of patient in 11a and b. d: lateral profile at 6 mos and 2 yrs follow-up. e: close-up of healed 8 cm. incision used for the procedure.