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. 2022 Jan 27;3(1):85–92. doi: 10.1302/2633-1462.31.BJO-2021-0178.R1

Fig. 3.

Fig. 3

Patient aged 14 years and seven months with quadriplegic cerebral palsy. a) Collapsing lumbar scoliosis (93o) with associated pelvic obliquity (20o). b) Increased thoracic kyphosis with elimination of normal lumbar lordosis and positive global sagittal balance of the spine. c) Supine traction radiograph shows the scoliosis to improve to 56o and the pelvic obliquity to retain flexibility and correct to 10o. d) Excellent correction of scoliosis to 21o and marked improvement of pelvic obliquity to 4o was maintained at follow-up (aged 17 years and eight months) after a posterior spinal fusion using a hybrid segmental pedicle screw/sublaminar wire/rod construct extending distally to L5; E: Spinal surgery restored thoracic kyphosis/lumbar lordosis and balanced the spine.