case_images: PMC4900239_01
case_images: Case 1 preoperative physical appearance. Anterior view showing imbalance of shoulder and waist line. Other characteristic findings such as short stature, a small chest, and variable limb abnormalities were not found. The scar seen at the center of his abdomen was made when he received a renal transplant. Lateral view showing thoracic rib humps and thoracolumbar kyphosis
case_images: 13013_2016_69_Fig1_HTML.jpg
case_images: PMC4900239_01_13013_2016_69_Fig1_HTML.jpg
case_images: Fig1
case_images: Physical findings were imbalance of his shoulder and waist lines, a prominent right scapula and rib hump, and left lumbar hump (Fig. 1).
case_images: Case 1 total spine standing coronal and lateral radiographs. Coronal major curves were 70  at T4-12, 82  at T12-L3 and these curves were rigid. Sagittal total spine radiograph showed thoracic lordosis at T5-L2 was 10  and thoracolumbar kyphosis at T10-L3 was 81 . The radiographs at 2 years postoperatively showed that the major coronal Cobb angles were 40  and 42 . The thoracolumbar kyphosis between T10 and L3 decreased to 30  and was maintained
case_images: 13013_2016_69_Fig2_HTML.jpg
case_images: PMC4900239_01_13013_2016_69_Fig2_HTML.jpg
case_images: Fig2
case_images: A lateral total spine radiograph showed an 81  thoracolumbar kyphosis (T9-L3) and 10  thoracic lordosis (T5-L2) (Fig. 2). A lateral whole spine radiograph also showed thoracic lordosis was 5  and thoracolumbar kyphosis was 28  (Fig. 2).
case_images: PMC4900239_02
case_images: Case 2 preoperative physical appearance. Lateral view showing prominent right scapula and rib hump. However, there were no apparent abnormalities such as a small chest, obvious short stature, and short limbs. Clinical photos during forward bending showed an obvious right rib hump and mild left lumbar hump
case_images: 13013_2016_69_Fig3_HTML.jpg
case_images: PMC4900239_02_13013_2016_69_Fig3_HTML.jpg
case_images: Fig3
case_images: Physical findings were a prominent right scapula and rib hump, and left lumbar hump (Fig. 3).
case_images: Case 2 total spine standing coronal and lateral radiographs. Preoperative coronal major curves were 52  at T5-L1, 55  at T11-L4, and thoracic kyphosis at T5-L2 was 15 . The radiographs at 2.5 years after surgery. The major coronal Cobb angle was 20  (61 % correction) and 21  (62 % correction). The sagittal Cobb angle between T5 between T12 increased to 28
case_images: 13013_2016_69_Fig4_HTML.jpg
case_images: PMC4900239_02_13013_2016_69_Fig4_HTML.jpg
case_images: Fig4
case_images: Cobb angle was 52  (T5-11), 55  (T11-L4), and Risser grade was V (Fig. 4). At 2.5 years follow up, she conducted a normal life without any restrictions and the correction of the spine was maintained (Fig. 4).