PMC9559958_01
Preoperative radiographs: A) AP view, B) lateral view, C) fulcrum bending test view.
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Thoracic kyphosis was moderately augmented (61 ). The curve was classified as Lenke type 1A+ (Fig. 1A-C).
Clinical examination: A) back view, B) sagittal view, C) frontal bending test view.
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On forward-bend testing, the right rib hump was 75 mm high (Fig. 2A-C).
Evolution of the main curves over the years.
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The deformity gradually progressed from 28  to 56  over 3 years and after the menarche, it increased rapidly to 110  over 13 months (Fig. 3A-E).
One-month follow-up: A) Radiograph AP view, B) radiograph lateral view, C) clinical examination back view.
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Postoperative standing full-length radiographs showed a 57% correction of the main curve in the coronal plane (52 ) (Fig. 4A-C).
Last follow-up: A) Radiograph AP view, B) radiograph lateral view, C) clinical examination back view, D) clinical examination sagittal view.
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At her last follow-up at 8 months, the imaging and physical examination demonstrated an excellent correction of the deformity (Fig. 5A-D).