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. 2022 Feb 4;3(2):123–129. doi: 10.1302/2633-1462.32.BJO-2021-0120.R1

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© 2022 Author(s) et al.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/

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Fig. 4 — This 14-year-old female patient was in the Group Risser Grade 3 to 5 vertebral body tethering anterior scoliosis correction. a) The main thoracic (MT) Cobb angle was 44.2° and thoracolumbar Cobb angle was 38.9°. She is categorized as Risser 4 and the tri-radiate cartilages are closed. b) The bending radiograph shows an unbend Cobb of 26.5° c) Six weeks postoperatively the MT Cobb angle of was 4.3° and the thoracolumbar (TL) Cobb angle was 18.9°. Note that this is better than the unbend Cobb angle on bending radiograph. d) Radiographs five years postoperatively show maintained improvement, but there is some stress relaxation with the Cobb angles, with the MT 15° and the TL 20.5°.