Patient aged 15 years and 9 months with a right thoracic AIS producing thoracic translocation and listing of the trunk to the right, as well as a lordotic thoracic spine causing spinal penetration into the chest, partial bronchial obstruction and right lower lobe atelectasis (A,B). The patient underwent posterior scoliosis correction using the HS technique which restored segmental and global coronal/sagittal spinal balance at latest follow-up (age 19 years and 2 months) into adult life (C,D). Clinical photographs demonstrate excellent correction of the coronal deformity and associated rib hump after scoliosis surgery (E–H).