The following X- ray of a 13-year-old child presenting with difficulty in breathing and gradually developing respiratory compromise. What is the diagnosis?: (A) Kyphoscoliosis, (B) Lordosis, (C) Scheuermann's Disease, (D) Koch's Spine
Answer is A. Ans. A. Kyphoscoliosisa. Kyphoscoliosis may be developmental or congenitalb. In severe forms especially congenital thorasic insufficiency may be seen due to pulmonary hypoplasiac. In such a scenario the patient may require a pre emptive thoracoplasty to allow development of lungs and avoid hypoplasia.