In fact, scoliosis is not difficult to detect as long as parents usually pay more attention to their children’s backs. In terms of incidence alone, there are many patients with scoliosis, but many go undetected, and by the time they are discovered many of the deformities are already severe and the opportunity for conservative treatment is lost. As physicians, we feel sorry for the children who have delayed the best time for treatment. This is mainly because most patients with early scoliosis are painless and asymptomatic, and because parents have little knowledge of the pathology of scoliosis, they often miss a great opportunity to identify scoliosis by not paying attention during the early stages of a child’s scoliosis. In daily life, parents should pay more attention to the small changes in their child’s spine. For example, careful observation of the child’s spine during bathing and other opportunities to expose the child’s body will still reveal many clues. The following are some of the subtle changes in the child’s body during the early stages of scoliosis: 1. Pay attention to whether the child’s back is symmetrical, whether there is asymmetry in the trunk, or a localized bulge in the back. 2. Both shoulders are unequal, with one shoulder protruding or “enlarging” significantly more than the other. 3.Both hips are unequal and the waist is asymmetrical. 4.Girls with unequal breast development, the left side of the breast is often larger (it should be noted that about 30% of normal women have asymmetric breasts on both sides, which should be strictly distinguished). 5, the whole body skin size vary milk coffee spots, back abnormal hair or tumor-like protrusion, etc.. All of these can be used as abnormal signs for early diagnosis of scoliosis. When a child or parent finds suspicious signs of scoliosis, the first thing to do is to go to a large hospital and consult an experienced physician, for example, to take a clear full-length standing x-ray of the spine. It is important to emphasize that since the standard meaning of scoliosis is the lateral curvature of the spine measured by the Cobb method in a standing frontal X-ray image, if the angle is greater than 10°, the spine is scoliosis. Therefore, taking such spinal radiographs is best done not lying down. This can mask the patient’s true condition to some extent, especially in mild patients with good spinal flexibility, which may appear “normal”. Since not all patients require surgical orthopedic treatment, parents should not be overly alarmed even if scoliosis is found to be a possible problem.