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case_images: A 24-year-old female adolescent idiopathic scoliosis (AIS) patient who underwent minimally invasive surgery. The patient was diagnosed of AIS since she was 12 years old
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case_images: The radiographic assessment demonstrated an 85  main thoracic curve with King type V classification, accompanied by thoracic hyperkyphosis [Figure 2].
case_images: Preoperative planning on fusion levels based on Lenke's or King's classification using whole-spine standing plain film. Arrows indicate the pedicles we plan to insert screws
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case_images: Preoperative planning based on Lenke's or King's classification, utilizing whole spine standing plain films, guided fusion level determination [Figure 3].
case_images: Reference points were usually set at T6 or T10 level. We would adjust the direction of reference according to the levels
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case_images: T6 was selected as the reference point, and transpedicular screws were inserted in 11 different levels along with rods [Figures 4 and 5].
case_images: Guidewires were inserted. We would perform several cone-beam computed tomography scans to confirm the proper positioning of guidewires and screws
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case_images: T6 was selected as the reference point, and transpedicular screws were inserted in 11 different levels along with rods [Figures 4 and 5].
case_images: The postoperative whole spine lateral plain radiographs revealed satisfactory result
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case_images: The postoperative whole spine anteroposterior radiographs also revealed satisfactory result
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case_images: On the first postoperative day, the patient demonstrated a favorable recovery, experiencing only mild wound pain. She was able to ambulate freely with minimal restriction in the range of motion of her back. Additionally, she could stand upright and bend forward without discomfort
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