Kelly Ann was 12 years old when we met. Her curve progressed to 25 degrees, so we began bracing her. Despite the brace, her curve increased to 40 degrees. By 16 years old, the curve continued to increase to over 48 degrees, so a “selective thoracic fusion” was recommended and performed. KellyAnn did great. We intentionally left the bottom of our instrumentation tilted to accommodate the lower curve and avoid an overly long fusion.