 My name is Dr. Thomas Kishan. I'm a spine and scoliosis surgeon at Manipal Hospital, Bangalore. Today we have a child with us whose name is Lakshit. We saw him three years ago when he was six years old and at that time he had what is referred to as early onset scoliosis. Because of his small size, we weren't able to offer him the traditional fusion surgery that we normally offer as scoliosis patients and we had to resort to a growth guidance system that would allow his spine and his body to grow with age. If we had fused him in the traditional fashion, he would have had significant restriction of his chest capacity as well as disproportion between his upper segment and lower segment. Now we resort to a Shilla procedure which is a growth guidance procedure which involves inserting screws and rods into his spine but this allows him to grow. So now he's three years down the line, he's grown 15 centimeters since then and is continuing to grow and once he reaches the age of around 11 or 12 years old, we hope to perform a definitive fusion surgery.