PMC7204781_01
Preoperative full-length PA and lateral whole spine X-rays showing a 50  right thoracic scoliotic with thoracic kyphosis of 65 .
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F1
Full-length spinal PA and lateral X-rays showed left thoracic scoliotic curve extending from T5 to T9 with apex at T7 and measuring about 50  with Cobb method with thoracic kyphosis of 65  (Figures 1-3).
Preoperative MRI revealing a giant left extra pulmonary mass with intra spinal extension compressing the spinal cord.
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F2
Full-length spinal PA and lateral X-rays showed left thoracic scoliotic curve extending from T5 to T9 with apex at T7 and measuring about 50  with Cobb method with thoracic kyphosis of 65  (Figures 1-3).
Preoperative chest CT scan showing the giant mass in the left hemithorax shifting the mediastinum to the right side.
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F3
Full-length spinal PA and lateral X-rays showed left thoracic scoliotic curve extending from T5 to T9 with apex at T7 and measuring about 50  with Cobb method with thoracic kyphosis of 65  (Figures 1-3).
Intraoperative photos. (a) Pedicle screws insertion with rod connected to the right side and microscopic decompression of the spinal cord. (b) Separation of the mass from the cord and ligation of the connecting nerve root and excision of the mass from the spinal cord. (c) Retraction of the para-spinal muscles medially and entering the left hemithorax through the 6th intercostal space posteriorly. (d) The white tumor mass after complete resection.
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F4
Chest tube was inserted from a different stab in the anterior axillary line for drainage and ribs were approximated in the standard fashion; then back muscles were approximated and wound closed in layers (Figure 4).
Postoperative full-length PA and lateral whole spine radiograph showing the correction of the scoliotic curve to 30  and the thoracic kyphosis to 32 .
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F5
Patient was discharged home on the 6th day postoperative uneventfully (Figure 5).