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A 13-year-old boy who had hump-back was taken to the hospital. The whole spine posteroanterior and lateral radiograph showed failures of segmentation from T5 to T8 vertebra, as well as laminae fusion, diagnosed congenital thoracic kyphoscoliosis. Spinal fusion surgery was suggested because of the potential progress of segmental kyphosis. However, unusual imaging revealed that four thoracic cavity compartments were separated by two deformed ribs extending inferolaterally in bilateral hemithorax (figure 1A).
Contributors XX and SZ: cared for the patient and collected the data for the manuscript. XX: wrote the manuscript. Both authors discussed the patient’s diagnosis and treatment, and revised and approved the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.