Miss A, aged 16
Condition: Sheuermann's Kyphosis
Treatment: Spinal fusion
Mr Rai's notes
"Miss A was referred to me with a painful kyphotic deformity of her thoracic spine that was getting worse with time. All conservative means had failed so the team suggested surgery.
I inserted screws into each vertebra and took out multiple wedges from behind. The deformity then was corrected by linking the screws to some rods to straighten the spine.
The operation took about six hours and we used spinal cord monitoring to ensure the procedure did not cause any damage to the delicate spinal nerves."
The patient's experience:
"I was being bullied at school because my shoulders were getting more and more rounded and I looked as if I was leaning forward all the time. I felt shy and found it hard to talk to people.
Since the operation, life is so much better. I look like my friends now and don't stand out. I fit in and I'm not bullied any more. The operation has improved my life so much. Thank you."