Introduction Convex hemiepiphyseodesis is still a reasonable option to treat young patients with congenital scoliosis taking away growth from the convexity. This study aims to clarify, if growth of the concavity can be established by the VEPTR method even after convex hemiepiphyseodesis. Material and Methods 3 patients, 2 girls and 1 boy, had VEPTR surgery at an average of 4 years after thoracic convex hemiepiphyseodesis as the index procedure. Follow up was from 6 months to 4 + 6 years. The age at the time of surgery was 8–9 years. Results Main thoracic curves corrected from 51
to 37
, from 55
to 44
, and from 40
to 36
, respectively. Mean secondary lumbar curves improved from 32
to 20
and from 24
to 20
. For 1 patientwho had 3VEPTR devices implanted, 1 rib had to be removed due to an infected skin slough without compromizing the final result. All patients were treated without a brace. Sport activities were encouraged. Discussion Convex hemiepiphyseodesis reduces the risk of progression of congenital scoliosis but may lead to thoracic insufficiency syndrome later due to impaired longitudinal and latitudinal growth of the thorax. In this limited case study we were able to show that VEPTR may improve pulmonary function of congenital curves by induction of concave growth even after convex hemiepiphyseodesis.