Postero-anterior plain film ( A ) and multiplanar reconstruction 3-D reformation of a multi-row
detector CT in a patient who has congenital thoracic scoliosis with wedge vertebrae and hemivertebrae ( B ). Curve progression is strongly related to the type of vertebral abnormality, with the poorest prognosis for unilateral unsegmented bars with contralateral hemivertebrae (up to 10°/yr progression), a less severe progression in cases of hemivertebrae or double hemivertebrae (1–2.5°/yr and 25°/yr, respectively), as in this case, and a least severe progression in patients who have block and wedge vertebrae (<1°/yr progression). Associated rib anomalies are seen frequently.