case_images: PMC10823829_01
case_images: The patient had a thoracic and lumbar scoliosis (a) with associated thoracic hypokyphosis producing negative sagittal balance (b). A posterior spinal fusion across the levels of the primary thoracic scoliosis achieved a balanced spine with good correction of the deformity in both coronal and lateral planes (c and d). This was maintained after instrumentation removal as the spine had solidly fused along the operated segments.
case_images: JOCR-14-40-g001.jpg
case_images: PMC10823829_01_JOCR-14-40-g001.jpg
case_images: F1
case_images: T3-T12 (Fig. 1).
case_images: Computed tomography scans obtained after the index procedure show the left T10 pedicle screw impinging on the aorta (a and b).
case_images: JOCR-14-40-g002.jpg
case_images: PMC10823829_01_JOCR-14-40-g002.jpg
case_images: F2
case_images: T10 screw in close vicinity of the aorta (Fig. 2). To determine the exact position of the screw tip in relation to the aorta, an angiogram and an intravascular ultrasound was done which showed no evidence of intra-luminal extension of the screw tip.