case_images: PMC8247685_01
case_images: (a) Clinical picture of the patient showing prominent thoracic hump. (b) Lateral and AP view of spine radiograph showing severe thoracic kyphosis.
case_images: SNI-12-290-g001.jpg
case_images: PMC8247685_01_SNI-12-290-g001.jpg
case_images: F1
case_images: On physical examination, bossing of the thoracic cage was observed with short abdomen and both iliac crest almost touching the ribs [Figure 1a]. Radiographic picture of spine showed severe kyphosis of 141  from T1 to T10 thoracic vertebrae on lateral view with diffuse paraspinal calcifications, most likely representing a granulomatous lesion [Figure1b].
case_images: Sagittal MRI showing collapsed dorsal spine with gibbous formation.
case_images: SNI-12-290-g002.jpg
case_images: PMC8247685_01_SNI-12-290-g002.jpg
case_images: F2
case_images: Similarly, variable sized paraspinal collections were identified with areas of low-intensity signals/signal void suggested chronic calcified component [Figure 2].
case_images: (a) Image of the patient just after the placement of halo-pelvic assembly. (b) Radiograph showing exact position of half pins in pelvic assembly; supra-acetabular half pins (red arrows) half pins in ilium (yellow arrows).
case_images: SNI-12-290-g003.jpg
case_images: PMC8247685_01_SNI-12-290-g003.jpg
case_images: F3
case_images: Both arches were connected with each other through two threaded rods to strengthen the construct [Figure 3].
case_images: Both clinical and radiographic images of the patient after a month of distraction. Note the substantial reduction of the kyphosis.
case_images: SNI-12-290-g004.jpg
case_images: PMC8247685_01_SNI-12-290-g004.jpg
case_images: F4
case_images: After 35 days of distraction, rib hump and thoracic knuckle markedly improved and Cobb angle reduced from 141  to 56  [Figure 4] and the patient height increased up to 8 cm.
case_images: Radiographic images taken just after corrective surgery showing placement of thoracic cage from T1 to T10.
case_images: SNI-12-290-g005.jpg
case_images: PMC8247685_01_SNI-12-290-g005.jpg
case_images: F5
case_images: A cage was placed from T1 to T10 vertebral body after debridement [Figure 5].