Anales de la RANM

193 A N A L E S R A N M R E V I S T A F U N D A D A E N 1 8 7 9 THORACOLUMBAR ROTATIONAL KYPHOSIS Pizones J, et al. An RANM. 2022;139(02): 186 - 195 Fig 1. Patient with adult lumbar scoliosis (coronal T12-L4 = 50°) and TLK (43°), PI 38°, and SS 6°, with 2 levels conforming the LL. The patient underwent posterior spinal fusion from T9-iliac. Postoperative lumbar Cobb was 26°, TLK 20°, SS 25°, adding 1 level to the LL, achieving a final R-type 1, which matched the ideal type. Fig 2. Patient with adult lumbar scoliosis (coronal T11-L3 = 66°) and TLK (26°), PI 58°, and SS 40°, with 4 levels conforming the LL. The patient underwent posterior spinal fusion from T5-iliac. Postoperative lumbar Cobb was 20°, TLK 10°, SS 38°, adding 1 level to the LL, achieving a final R-type 3, which matched the ideal.