We report a case of congenital kyphosis in a 5-year-old child. Although she was presented before the age of 1 year to her local orthopaedic unit, a definitive diagnosis of unsegmented vertebra was made when she was referred to our unit. The child was treated with posterior fusion, which improved part of the deformity and completely prevented progression. We discuss the case and the condition, which if ignored can lead to progressive painful deformity and paralysis.
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