en Cardiology Case Report and Review of Literature Case Report and Review of Literature <div style="text-align: justify;">As the most common congenital heart malformation, tetralogy of Fallot (TOF) produces cyanosis. Patients with TOF suffer from a higher frequency of major noncardiac congenital disorders. Its association with congenital scoliosis influences vital and functional overcomes, restricting physical activity and lowering life expectancy. An 8-month-old female child was reported with admitted cough, fever, and ruled-out pneumonia. The child was diagnosed with heart disease at 2-month-old when cyanosis was apparent. After being admitted to a hospital, history and physical examination showed mild neurodevelopmental delays, such as an inability in rolling and crawling. Her chest x-rays revealed congenital spine abnormalities thoracic vertebral at T3-T8 levels and bilateral segmented-bar sacral vertebrae. Given that patients with TOF routinely undergo chest radiographs, physicians examining TOF patients&rsquo; chest radiographs should be aware of the potential for congenital scoliosis to provide early diagnosis and referral for orthopedic evaluation and treatment.</div> Congenital heart disease, DiGeorge syndrome, Scoliosis, Case report, Child 247 252 http://jpr.mazums.ac.ir/browse.php?a_code=A-10-913-2&slc_lang=en&sid=1 Yazdan Ghandi drghandi1351@gmail.com 10031947532846008671 10031947532846008671 Yes Pediatric Cardiologist, Amir Kabir Hospital, Arak University of Medical Sciences, Arak, Iran. Saeed Karimi said.karimi75@yahoo.com 10031947532846008672 10031947532846008672 No Arak University of Medical Sciences, Amir Kabir Hospital, Arak, Iran. Rasool Karimi rasoolkarimi2021@gmail.com 10031947532846008673 10031947532846008673 No Arak University of Medical Sciences, Amir Kabir Hospital, Arak, Iran.