Chen X, female, 13 years old, was admitted to the hospital mainly because of thoracic back deformity for half a year, progressive aggravation for two months Basic information at the time of admission: a. In January 2013, he had thoracic back pain after exertion, and his parents found thoracic back deformity during examination. In May 2013, he felt that the deformity had worsened, and his appearance had changed significantly. Physical examination: Visual examination: limping gait, high right shoulder, deviation of the spine to the right side, the deviation basically disappears when the patient bends over and lies down. Palpation: mild pressure pain in and around lumbar 4, lumbar 5 and sacral 1 spinous process, percussion pain is obvious, radiating to the left lower limb to the ankle; left lateral calf and left dorsal foot sensation is obviously reduced. Movement: active movement of the lumbar spine was mildly restricted. The right shoulder was 50px higher than the left shoulder and the left iliac crest was about 50px higher than the right. the Achilles tendon reflexes were diminished bilaterally. There was no significant abnormality in muscle strength. Auxiliary examination: X-ray: scoliosis of the thoracolumbar segment of the spine Admission diagnosis: scoliosis Treatment plan: posterior osteotomy orthopedics of spinal deformity, internal fixation with nail rod system and fusion with bone graft under general anesthesia. Fusion stage: thoracic 3-12; Ponte osteotomy near the parietal vertebra. Condition at discharge: good general condition, no fever, good healing of the incision, no redness, swelling and exudation. Postoperative sensory activities of the extremities were good, and the activities away from bed were good. Postoperative review: good spinal alignment on X-ray, normal position of internal fixation. Discharge diagnosis: scoliosis.
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