This young adult male had a very progressive severe idiopathic scoliosis.
His MRI did not show any spinal cord anomalies.
Since the curve was large and very stiff, he underwent a release of the thoracic curve to make it more flexible to aid correction. The release involves removing the discs and ligaments that are contracted and making the spine stiff.
A posterior approach performed the same day to correct the spine posteriorly.
Both curves were corrected the same day by releasing the ligaments and facet joints to make the spine flexible and then correction was achieved with the help of instrumentation.
The fusion was performed using local bone and allograft bone bank bone.
The clinical pictures shows the improvement in the scoliosis deformity and alignment. His head is centered better over his pelvis compared to before surgery.
The rib prominence is greatly decreased best displayed on the picture of him bending forward.