Fourteen-year-old boy who was paraplegic as result of gunshot wound to spine. A and B, Anteroposterior and lateral sitting thoracolumbar spine views showing 45-degree right lumbar curve with minimal pelvic obliquity. Lateral view shows thoracolumbar junction to be fairly straight. Because patient wanted to continue walking with braces, preservation of as many mobile segments below fusion was thought advantageous. Because of behavior of lumbar curve on side bending, it was thought that anterior fusion alone with instrumentation would provide correction of scoliosis and maintain sagittal contour. C, Anteroposterior sitting thoracolumbar spine view postoperatively shows excellent correction of scoliosis and preservation of sagittal contour. Anterior procedure was done with subperiosteal stripping of spine, and fusion healed rapidly within a few months.