Degenerative scoliosis (DS) refers to scoliosis that occurs in adulthood secondary to degenerative changes in the lumbar discs and synovial joints without a previous history of scoliosis, with an incidence of about 4-15%. Degenerative scoliosis is usually short-segment lumbar scoliosis, which not only leads to deformity in appearance, but also often combines with lumbar spinal canal lower limbs, causing lower back pain, lower limb radiating pain, intermittent claudication symptoms, which seriously affects the quality of life of the elderly and even impairs cardiopulmonary function. Non-surgical treatment Non-surgical treatment is suitable for patients with tolerable low back pain and lumbar spinal stenosis, and patients who cannot tolerate surgery. Non-surgical treatment methods include: functional exercises for low back muscles to enhance muscle strength; brace treatment; physical therapy to improve aerobic metabolism, increase muscle strength, improve flexibility and joint movement; application of non-steroidal anti-inflammatory and analgesic drugs; treatment of osteoporosis and prevention of further bone loss; corticosteroid injections of synovial joints, nerve root block, etc. Surgical treatment 1. Indications for surgical treatment Indications for surgery mainly include lower back pain, radiating pain, lumbar stenosis and neurological dysfunction related to lumbar curvature, progressive aggravation, and ineffective non-surgical treatment. Scoliosis alone, without other symptoms, often does not require surgery. Cosmetic needs, non-spinal origin of lower back pain and lower extremity pain are not indications for surgery . The goal of surgery should be to reduce pain, restore balance, stop the progression of deformity, and restore physiological lumbar pronation with minimal external fixation support. Surgical treatment methods include decompression of the spinal canal, correction of sagittal and coronal deformities, internal fixation and spinal fusion surgery to achieve stability.