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"skip" area (n = 1) and a small temporal hematoma (n = 1), which resolved. ROTCH seems to be a safe, feasible, and bloodless procedure, with a very low morbidity rate and promising outcomes. ROTCH seems to be a safe, feasible, and bloodless procedure, with a very low morbidity rate and promising outcomes. The aim of this paper was to compare the radiographic and clinical outcomes between the sequential correction (SC) technique and the traditional 2-rod correction (TC) technique in patients with severe thoracic idiopathic scoliosis (ST