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11 year old child with right thoracic presumed ‘idiopathic’ scoliosis. Clinically she had an asymmetrical abdominal reflex. (a, b) The radiographs showed a 53° right thoracic scoliosis with a thoracic kyphosis (T4-T12) of 38°. (c) The MRI showed a Arnold Chiari type-I malformation with a cervicothoracic syrinx. This required a foramen magnum decompression followed by posterior corrective instrumentation
