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HPI
The patient is a 13-year-old female that initially presented to clinic several years prior with scoliosis. She was given a brace but was unwilling to wear this for sufficient time during the day. The mother reports her curve has progressively worsened. The patient denies any back pain or lower extremity weakness, numbness, or tingling.
PMH
No contributory past medical and surgical history. Family history is positive for scoliosis in her sister.
PE
On examination, there is an obvious deformity of the spine with a large left-sided thoracolumbar prominence. The right shoulder sits about 2-3 cm higher than the left side. Forward bending does not elicit pain and there is significant vertebral rotation appreciated. There are symmetric 2/4 patellar and Achilles reflexes. Motor strength is 5/5 in the iliopsoas, quadriceps, tibialis anterior, extensor hallicus longus, and gastrocsoleous. There is a downgoing Babinski's.
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T2-L3 posterior instrumented fusion, T2-L2 posterior column osteotomies