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Figure 5 | Scoliosis

Figure 5

From: “Bone-οn-Bone” surgical reconstruction of moderate severity, flexible single curve adolescent idiopathic scoliosis: continuing improvements of the technique and results in three scoliosis centers after almost twenty years of use

Figure 5

A, Posteroanterior and lateral preoperative standing radiographs of a 13-year- old girl with a 59° Lenke 5CN left thoracolumbar curve. The curve is reduced to 37° on the “stretch film.” There is thoracolumbar junctional kyphosis of 7° in the later instrumented segments T12 to L3. B, A carbon fiber cage is inserted into the L2–L3 disc space to improve the sagittal alignment. C, 2 months after anterior instrumentation, the entire thoracolumbar curve is reduced to 13° with the instrumented levels T12 to L3 improved to 4°. D, Presurgical trunk decompensation to the left with trunk rotation. E, View 2 months after surgical correction: the trunk is balanced over the pelvis; there is no more trunk rotation.

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