(Disclaimer: This article is for scientific purposes only. To protect patient’s privacy, the information in the following content has been processed) Abstract: A 12-year-old boy accompanied by his parents came to the clinic because of the inconsistency in the height of the shoulders on both sides. After examining the child, a preliminary diagnosis of scoliosis was made and radiographs were performed, which showed confirmed scoliosis with a Cobb angle of 15 degrees. Due to the child’s age and the small angle of scoliosis, there was no need to wear a brace, so functional exercises were given to the child. After 6 months of functional exercises, the scoliosis angle of the child was reduced and the scoliosis did not progress further. Basic information] Male, 12 years old [Type of disease] Scoliosis [Hospital] The First Affiliated Hospital of Zhengzhou University [Date of consultation] August 2020 [Treatment plan] Functional exercise (Schroth’s scoliosis sports orthopedic method) [Period of treatment] 6 months of treatment, long-term follow-up [Effect of treatment] Scoliosis did not further develop. A teenage boy accompanied by his parents came to the clinic. The mother of the child asked me how to treat the child’s shoulder height discrepancy. The mother asked me how to treat the child’s shoulder height discrepancy. I asked the child to take off his coat and stand up straight, and observed that his shoulders were different in height bilaterally, which led to a preliminary diagnosis of scoliosis. The child was asked to bend over, and the spine deviated from the midline, with a slight convexity on one side, which was suspected to be caused by scoliosis. Detailed history was taken and the child was already 1 month old when the symptom appeared. It was thought that the symptom was caused by carrying a backpack, so no attention was paid to it and the child was only told to carry a backpack with a different shoulder, but the symptom of shoulder height discrepancy still did not improve. X-ray examination was performed to confirm the diagnosis, which showed scoliosis with a Cobb angle of 15 degrees. After the diagnosis of scoliosis was clarified, functional exercises were recommended to slow down or stop the progression of the disease according to the child’s age, but the mother wanted to be immobilized with a brace. The mother was told that the wearing of a brace needed to be evaluated according to the angle of scoliosis, and that the child might have a greater psychological burden if she wore a brace at this age. After explanation, the parents expressed their understanding and the child was given functional exercises to improve the scoliosis through the Schroth scoliosis correction method. After 6 months of functional exercise, the child came for a follow-up examination, and a full-length X-ray of the spine was performed, which showed that the scoliosis angle of the child had decreased by about 5 degrees compared with that before the consultation, indicating that the functional exercise treatment was effective, and therefore the child was advised to continue to carry out the functional exercise. At the first visit of the child, the X-ray examination showed the existence of scoliosis, with a Cobb angle of 15 degrees, and the X-ray examination was repeated six months after the functional exercises were performed, and the angle of the scoliosis was about 5 degrees smaller than before, which showed a trend of gradual reduction, so the child continued to perform the functional exercises. After six months of functional exercise, the scoliosis angle almost disappeared, bilateral shoulder height symptoms disappeared, and the difference in shoulder heights leveled off, with obvious changes in appearance, and the treatment effect of functional exercise was better. Note: We are glad that the scoliosis angle of the child has been reduced after treatment, and the treatment effect is good. However, for the sake of the child’s future life, it is still necessary to advise the child to pay attention to the following points in daily life: 1. In daily life, avoid bending the waist and hunching the back, so as not to make the muscle strength around the spine unbalanced, which will lead to the scoliosis angle aggravation. At the same time, excessive exercise is prohibited, so as not to aggravate the disease and induce pain; 2. For diet, it is recommended to have a balanced diet, avoiding partiality and picky eating, and eating more protein-rich foods, such as milk, eggs, beef and so on. At the same time, children should be given fresh vegetables and fruits rich in calcium and vitamins, such as cabbages and apples, etc., in order to promote the development of bones. Scoliosis is a common spinal deformity, which often occurs in children during the growth and development period, and the more common symptom is that the height of the shoulders is different bilaterally. Therefore, once a child is found to have shoulders of different heights, it is necessary to consider whether scoliosis is present, and closely observe the progress of scoliosis. The treatment of scoliosis is usually based on the age of the child and the angle of the scoliosis. For younger children with a scoliosis angle of less than 10 degrees, physiologic scoliosis is considered, and close observation is sufficient without special treatment. For children with a scoliosis of 10-20 degrees, functional exercises can be chosen. If after 6 months of treatment, the review shows that the angle has increased by 5 degrees or has progressed to more than 20 degrees, it is necessary to wear a brace. In this case, after 6 months of functional exercise, the angle has decreased, which shows that the treatment effect is really visible, so there is no need to be fixed with a brace, which is what we, as doctors, would like to see the most.