PMC6744745_01
Pre-operative imaging, (a) lateral thoracic X-ray, shows normal kyphosis, (b) AP radiograph, scoliosis is 40 , (c) reconstructed coronal CT shows that an abnormal vertebra is responsible for congenital scoliosis.
SNI-10-155-g001.jpg
PMC6744745_01_SNI-10-155-g001.jpg
F1
Dorsal spine X-rays documented thoracic scoliosis of 50  due to an abnormal T6 hemivertebra diagnosed on coronal computed tomography (CT) studies [Figure 1].
Intra and post-operative portable chest X-rays; (a) OR - X-ray shows right-sided TPT and shrinkage of right lung (white arrows), (b) X-ray in OR, with a chest tube, the right lung is shrunken yet (white arrows), the tip of the chest tube is kinked, but a few minutes later, it was replaced; (c) a few days later, the lung is expanded and no pneumothorax is seen.
SNI-10-155-g002.jpg
PMC6744745_01_SNI-10-155-g002.jpg
F2
Then, the patient was turned to supine position and a chest radiograph was obtained showing a TPT on the right side with complete collapse of the right lung warranting chest tube placement [Figure 2a]. Next chest radiographs showed re-expansion of the right lung [Figure 2b]. TPT resolved allowing for chest tube removal 3 days later [Figure 2c]. The child was discharged on the 6th post-operative day.
Post-OP imaging, (a) lateral view normal kyphosis is obtained, (b) AP radiographs showing the correction of scoliosis, (c) reformatted coronal CT, note all screws are in ideal place and a tricortical iliac graft (white arrow).
SNI-10-155-g003.jpg
PMC6744745_01_SNI-10-155-g003.jpg
F3
One year later, dorsal spine radiographs and reconstructed CT images documented adequate fusion of the scoliotic deformity [Figure 3].