When viewed from behind, the spine is a straight line. If you see the spine curving to the left or right from behind, you have “scoliosis,” medically known as scoliosis. Scoliosis is a curved spinal deformity in which one or more segments of the spine curve laterally away from the midline in the coronal plane, usually accompanied by rotation of the spine and an increase or decrease in the sagittal plane of physiological pronation or kyphosis. Lateral curvature of the spine measured by the Cobb method on standing ortho-x-ray images is considered scoliosis if the angle is greater than 10 degrees. It can be caused by a variety of etiologies and can be idiopathic, congenital and secondary. Among them, idiopathic scoliosis is the most common and the cause is unknown. Idiopathic scoliosis occurs in adolescents and is usually discovered unintentionally by parents or teachers, often before puberty and progresses rapidly until the end of puberty, with most patients still progressing slowly in adulthood. 1. What is scoliosis? From the back, the spine is a straight line. If you see the spine bending in the direction of the left and right from behind, you have “scoliosis”, medically known as scoliosis. Scoliosis is a curved spinal deformity in which one or more segments of the spine curve laterally away from the midline in the coronal plane, usually accompanied by rotation of the spine and an increase or decrease in the sagittal plane of physiological forward or backward convexity. Lateral curvature of the spine measured by the Cobb method on standing ortho-x-ray images is considered scoliosis if the angle is greater than 10 degrees. It can be caused by a variety of etiologies and can be idiopathic, congenital and secondary. Among them, idiopathic scoliosis is the most common and the cause is unknown. Idiopathic scoliosis occurs in adolescents and is usually discovered unintentionally by parents or teachers, often before puberty and progresses rapidly to the end of adolescence, with most patients still progressing slowly through adulthood. 2, how to detect scoliosis early? Scoliosis can be manifested as asymmetrical posture when standing, unequal shoulders, asymmetrical back when bending over, and pigmented or abnormal hair on the back skin. If scoliosis is present, the back or waist may be unequal on both sides, commonly known as “razorback deformity”. In severe cases, there may be thoracic rotation deformity, breast asymmetry, upper body tilt, trunk shortening and decreased activity endurance, shortness of breath and palpitations due to decreased chest volume. If parents notice that their child has one or more of these symptoms, they should contact a spine specialist promptly. After taking a detailed medical history, the doctor will give an X-ray or CT or MRI to confirm the scoliosis deformity and the degree of curvature, and then give treatment recommendations. 3, the dangers of scoliosis Scoliosis can seriously endanger the healthy growth of children. Affect the physical appearance of the child scoliosis is generally difficult to detect early, many children are only discovered when there is a significant deformity, a curvature of the spine, asymmetric back bulge appears “razorback”. At this point, the child’s physical appearance is significantly affected, and self-confidence is often undermined, to the detriment of mental health. Once a child has scoliosis, imagine how a child with a “curved” growing back can grow taller? We have found clinically that many children with scoliosis have lower heights than their peers. Many people think that the skeletal problems will not involve the internal organs, but in fact, it is not. Because scoliosis occurs mostly in the thoracolumbar segment, severe bending can lead to thoracic rotation deformity and thoracic volume decline, affecting cardiopulmonary development and symptoms such as decreased activity endurance and shortness of breath. As mentioned above, children with severe scoliosis. Health level is greatly impaired, in the long run, there is a risk of paralysis, the quality of life is significantly reduced, the average life expectancy is shorter than normal. 4, treatment of scoliosis Early treatment of scoliosis is very important. If the treatment is not timely, it often results in catastrophic consequences. Generally speaking, treatment measures include three aspects: close observation, brace treatment and surgery. The general principle is to select specific treatment measures according to the size of the scoliosis and the potential and speed of scoliosis progression. It is generally believed that patients with a scoliosis angle between 10-20 degrees can be treated without any treatment, and parents can educate them to pay attention to the correct sitting and standing posture and to develop good living habits. But must be closely followed up, every three months or six months to the hospital for spinal examination, such as deformity unchanged or reduced, no treatment; such as deformity aggravated, a year scoliosis angle increased by more than 5 degrees, should be treated immediately. If the angle of scoliosis is between 20-30 degrees at the time of initial diagnosis, it can be observed or braced. Currently, bracing is recognized as an effective non-surgical treatment method. The brace should be worn for at least 23 hours a day, with one hour reserved for bathing, gymnastics and other activities. If there is no contraindication, the brace should be used until the bone grows and matures.