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Purpose: To evaluate the outcome and complications of anterior release, posterior internal distraction and subsequentposterior spinal fusion for the treatment of severe kyphoscoliosis.Methods: The medical records and spinal imaging of 17 consecutive severekyphoscoliosis patients who underwent anterior release,posterior internal distraction andsubsequent posteriorspinal fusionwere reviewed.Results: Patients underwent spinal deformity correction atthe mean age of 22.6±8.4 years (range, 15-44 years) with mean follow-up of 37.4±12.0months(range, 24-60months).