• Ce Zhu, Shishu Huang, Chunguang Zhou, Xi Yang, Lei Wang, Tingxian Ling, Limin Liu, and Yueming Song.
• Department of Orthopedics Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
• Medicine (Baltimore). 2017 Dec 1; 96 (50): e9239.

RationaleSitus inversus totalis is a rare anomaly disease in which the organs in the chest and abdomen are positioned in a mirror image reversal of normal positions. Although this has been confirmed to be associated with spinal abnormalities, reports about situs inversus totalis with congenital scoliosis remain limited.Patient ConcernsWe present a 9-year-old girl having congenital scoliosis associated with situs inversus totalis.DiagnosesShe also had other associated anomalies: ventricular septal defect, mild restrictive ventilatory dysfunction, hydronephrosis, and syringomyelia. Her preoperative Cobb angle (T11-L3) was 78°.InterventionsShe received single growing rods treatment and subsequent posterior spinal fusion correction surgery for her scoliosis.OutcomesThe coronal Cobb angle of the main curve was corrected to 20° postoperatively and no obvious loss of spinal corrective angle was identified 1 year after the correction surgery.LessonsGrowing rods technique could be a safe and effective alternative for the treatment of scoliosis associated with situs inversus totalis. In the correction of left-sided lumbar curve of this kind of patients, the risks of aorta impingements should not be neglected when placing pedicle screws on the concave sides.Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

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