There was a double-curve in 10 cases, single-curve in 5. The mean Cobb-angle was 72°. The standard construct was a double rod with pedicle/pelvic screws at the base, double claw at the proximal end and sublaminar wires at intervening levels. The most proximal level was T1–T4 in 13 cases. Instrumentation was carried to the pelvis in 7 cases. Intra-operative fractures occurred in 5 cases. The mean blood loss was 999 mls (range 295–5500). Spinal cord monitoring was abnormal in 3 cases. 1 case resulted in postoperative lower limb paralysis, which recovered. The mean hospital stay was 7.5 days. Serious postoperative complications included one case of bilateral anterior compartment syndrome and one tibial fracture. The mean curve correction was 31%. Two cases required revision surgery: extension of fusion to the pelvis. The mean follow-up was 22.7 months (range 4–40). There was no measurable change in position over time.