Due to the stiffness of the spine, the orthopedic rate of adult scoliosis is poorer than that of adolescent scoliosis, especially for those with severe scoliosis and stiffness. Therefore, the principle of management of adult scoliosis patients is to maintain the coronal and sagittal balances of the spine on the basis of moderate orthopedic treatment, and at the same time to preserve as many lumbar spine segments as possible, and the specific orthopedic rate of the scoliosis is not the most important thing. This needs to be specifically stated. Adolescent scoliosis patients with the same type and degree of scoliosis will definitely have a higher correction rate than adult patients. This patient belongs to three curves, main thoracic curvature + structural upper thoracic curvature + non-structural curvature, what we did was selective fusion of main thoracic curvature + upper thoracic curvature, curvature was not fused, the purpose is to retain the patient’s basically complete lumbar spine mobility, the patient is a martial arts enthusiast, and hope that after the operation, he can still perform that sports activity, and asked to keep the lumbar flexibility as much as possible during the operation. Therefore. The patient’s postoperative films do not look straight. It should be noted that the main surgeon, Prof. Tao Huiren, was more concerned with the patient’s postoperative function, followed by whether or not the spine was straight. A well-functioning residual curved spine is superior to a poorly functioning straight spine. The patient’s intraoperative curvature was not corrected by internal fixation, which maintained lumbar mobility and had little effect on later activities in life, thus correcting more than 60% of the primary curvature. The reason for emphasizing this point of view is that some patients and their families may think that the correction rate is not high simply from the film, and they may feel that there is still some curvature and question why it is not “completely corrected”. The patient actually increased in height from 1.61 to 1.67 meters due to the camera angle. Different treatment concepts, focusing on the postoperative correction rate or focusing on the quality of life of the patient’s postoperative state of life, there will be different fixation methods, different treatment results. When choosing a doctor, patients are advised to communicate more with the doctor so as to get the most satisfactory treatment results.