What to do about scoliosis

  Scoliosis (scoliosis) is a deformity of the spine in which one or several segments of the spine deviate from the midline in the coronal plane and curve laterally, forming a spinal deformity with curvature, usually accompanied by rotation of the spine and an increase or decrease in physiological curvature in the sagittal plane. It is usually associated with increased or decreased physiological curvature in the sagittal plane. Females outnumber males by 2/4:1 and often develops during prepubertal development, progressing rapidly to the end of puberty.  Timing of surgery: Posterior orthopedic surgery without fusion can be done in younger patients, followed by bracing every 6-12 months or 15° increase in cobb angle, with a final orthopedic procedure done 1-2 years after the patient’s growth approaches the Rissor sign of 4° or menarche.  Surgical treatment: A brace treatment cannot control the progression of scoliosis (even at a young age and immature skeletal development); BRisser’s sign <3°, brace ineffective need Cobb angle >50; CRisser’s sign 3° to 4°, Cobb angle above 50°; Cobb angle 40° but with thoracic anterior convexity, thoracic rotation, razorback deformity and trunk tilt loss; D adulthood Lateral convexity with early onset of lumbar pain and rotational subluxation.