This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Spinal Injuries, Subject name: Orthopaedics
The following X- ray of a 13-year-old child presenting with difficulty in breathing and gradually developing respiratory compromise. What is the diagnosis? 
Select and explain. 
A. Kyphoscoliosis, B. Lordosis, C. Scheuermann's Disease, D. Koch's Spine
A: Kyphoscoliosis
Answer: A: Kyphoscoliosis 
Explanation: 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.