case_images: PMC5228665_01
case_images: The patient could not walk independently and required a wheelchair for movement.
case_images: medi-96-e5690-g001.jpg
case_images: PMC5228665_01_medi-96-e5690-g001.jpg
case_images: F1
case_images: No improvement in spinal cord function was achieved with conservative measures, and the patient gradually lost the ability to walk and required a wheelchair for movement (Fig. 1).
case_images: Preoperative scoliosis radiography showed coronal and thoracic kyphosis Cobb's angles of 70  and 170 , respectively.
case_images: medi-96-e5690-g002.jpg
case_images: PMC5228665_01_medi-96-e5690-g002.jpg
case_images: F2
case_images: The patient's preoperative coronal and sagittal thoracic kyphosis Cobb's angles were 70  and 170 , respectively (Fig. 2).
case_images: Preoperative 3D CT scans showing extremely severe postlaminectomy thoracic kyphotic deformity and posterior spinal fusion. 3D CT = three-dimensional-computed tomography.
case_images: medi-96-e5690-g003.jpg
case_images: PMC5228665_01_medi-96-e5690-g003.jpg
case_images: F3
case_images: T6 vertebra and previous spinal fusion (Fig. 3); magnetic resonance imaging (MRI) of the spinal canal revealed spinal cord compression at the apex of the kyphosis (Fig. 4).
case_images: Intra-operative photograph showing posterior vertebral column resection (T6) performed and posterior spinal fusion with pedicle screw fixation from T2 to L3.
case_images: medi-96-e5690-g005.jpg
case_images: PMC5228665_01_medi-96-e5690-g005.jpg
case_images: F5
case_images: T6 for spinal cord decompression, deformity correction, and posterior spinal fusion from T2 to L3 (Fig. 5). The autograft and allograft were used for posterior final spine fusion.
case_images: At the final follow-up, long-standing scoliosis radiographs revealed the coronal main curve was corrected to 21  and sagittal kyphosis curve to 75 .
case_images: medi-96-e5690-g006.jpg
case_images: PMC5228665_01_medi-96-e5690-g006.jpg
case_images: F6
case_images: Long-standing scoliosis radiographs demonstrated that the major curve at coronal plane was improved to 20  immediately after surgery and 21  (correction rate, 70%) at final follow-up; the thoracic sagittal kyphosis curve was improved to 76  immediately after surgery and 75  (correction rate, 55.9%) at the final follow-up (Fig. 6).
case_images: Clinical photographs showing overt improvement at the final follow-up.
case_images: medi-96-e5690-g007.jpg
case_images: PMC5228665_01_medi-96-e5690-g007.jpg
case_images: F7
case_images: Postoperative clinical photographs showed overt improvement (Fig. 7).