Abnormalities in the morphology and function of the spine mainly due to asymmetric degenerative changes of the small joints and discs of the spine, ageing, osteoporosis and compression fractures. Angle R10 on the coronal plane. Effects on the elderly: inability to walk long distances, to look after children, to travel, and to perform the labor intensity of family life. Treatment options: 1. If the scoliosis deformity is relatively small, a treatment responsibility gap can be performed. Perform effective decompression and fixation surgery such as simple lumbar disc removal, single-gap fusion, and double-gap fusion. Zhang Xifeng, Department of Orthopedics, Beijing 301 Hospital 2, if the scoliosis deformity is relatively large, at about 30 degrees. Clinical low back pain or symptoms of lumbar lumbar and leg pain, the general implementation of long-stage orthopedic fixation. Degenerative scoliosis surgery is one of the largest operations in spine surgery. Traditional surgical approaches: posterior median incision and decompression, internal fixation with pedicle nailing, and multi-gap interbody fusion surgery. Advantages can relieve clinical symptoms, disadvantages: very traumatic, more blood loss, up to greater than 3000 ml. Minimally invasive surgical methods: lateral approach interbody fusion, posterior percutaneous internal fixation with pedicle nailing. The advantages can relieve clinical symptoms, with little trauma and blood loss. Pre-operative loss of lumbar lordosis, inability to sit for long periods of time and walk more than 100 m. Preoperative deformity with a Cobb angle of 37 degrees. V-VI degrees in the Silva-Lenke DNS classification, which is a severe degenerative scoliosis. At 1 year and 10 months postoperative follow-up, the heart was wide and the body was fat Orthostatic scoliosis was 8 degrees. Lateral lumbar lordosis was present. Walking posture was normal.