Figure 1.

Patient photographs and skeletal survey. Photographs show mild ptosis and slight facial dysmorphism (A, B). Kyphoscoliosis is evident (C, D). Patient had maxillary surgery due to facial dysmorphism and teeth misalignment. Bilateral femoral osteotomy was performed. Pronounced scoliosis of the thoracolumbar spine with postsurgical changes of the posterior rods and bilateral pedicle screws traversing the thoracic and lumbar spine are evident. Skeletal abnormalities were secondary to congenital myopathy.