Fig. 3.

A 14-years old female with Lenke type 5AN curve (patient No. 4). A. Preoperative coronal Cobb angle (T7-L3) was 46° for thoracolumbar curve. B. Anterior dual rod instrumentation from T11-L2 was performed and Cobb angle was corrected to 18°. C, D. Preoperative and postoperative upright clinical photographs show the marked improvement in the preoperative trunk shift after anterior correction. E, F. Preoperative and postoperative forward bending photographs show the satisfactory correction of the rib hump after anterior correction.