14+10-year-old female from Moscow, Russia came to Saint Louis for treatment of her very severe scoliosis. She had a 149-degree idiopathic scoliosis with her spine resting against her ribcage completely obliterating her right lung field. She had very limited pulmonary function and altered cardiac function. She underwent a two-stage spine reconstruction consisting of anterior release and a posterior vertebral column resection (VCR) with halo-gravity traction to optimize her lung function between stages. Following her spinal reconstruction, she demonstrated excellent correction of her scoliosis down to 48°, marked improvement in pulmonary function and overall health. She returned to Russia where she married and currently works as a model.