1.What is scoliosis? Scoliosis refers to structural scoliosis (Cobb angle >10 degrees in the coronal plane, combined with rotation of the spine) in the spine without other organic disease. (Figure below) 2, the performance of scoliosis Scoliosis caused by the appearance of deformity early is not obvious, especially when wearing clothes is not easily detected. Often manifested as high and low shoulders (uneven neckline, one shoulder is higher than the other); scapulae height (one side of the back bulge); torso lateral (the entire trunk is skewed); waist left and right asymmetry (waist side of the fold; one hip is higher than the other side); pelvic tilt; long and short feet (both sides of the lower limbs are not equal in length). At this time, you can do some simple checks for your child, such as touching the spine’s spines with your hand to see if they are in a straight line, or having your child stand upright and bend forward to see if the back is symmetrical. If found, go to the hospital for examination as soon as possible. 3, the choice of scoliosis treatment (1) conservative treatment: In general, if the degree of spinal curvature in 20 ° or less, you can regularly observe; 20 ° – 30 ° more than 5 ° per year or the initial diagnosis in more than 30 ° should be treated. 30 ° – 45 ° patients can use brace protection, adhere to the use of brace treatment can be very good to limit the progress of scoliosis. (Figure below) (2) Surgery: Scoliosis in more than 45 ° or rapid progress of not only physical deformity, but also affect the cardiopulmonary function, should be operated as soon as possible. 4, the best time to treat scoliosis surgery? Scoliosis should be treated as soon as possible after the discovery of scoliosis. The best time for surgery is generally at the age of 10-20. Patients who need surgery should choose the appropriate time. In principle, the younger the age, the better the flexibility of the spine, the easier the scoliosis will be corrected and the less risky the surgery will be. However, a child too young for fusion surgery may affect development and develop a small thorax. In the case of girls, it is best to perform the surgery after the onset of menstruation, because after the onset of menstruation, a girl enters the peak of growth and development, when the curvature will have a more rapid development. After the age of 20, growth slows down or stops and scoliosis progresses more slowly. If the shape requirements are high, you can also operate. 5, scoliosis surgery will affect fertility? Scoliosis orthopedic surgery has no effect on the fertility of the patient. After surgery, the patient’s appearance improves significantly, self-confidence increases, and the quality of life is greatly improved. 6, surgical treatment is introduced surgical hospitalization time of about 3 weeks, preoperative adequate examination, including assessment of the degree of scoliosis, cardiopulmonary function and other conditions; carefully developed surgical plan. The surgery should be performed by an experienced specialist. After the surgery, the patient should be bedridden for 1 week and can get up and move around wearing a brace, and can be discharged after 12 days of stitch removal. General daily activities can be resumed 3 months after surgery, and physical or strenuous exercise is avoided for one year. Outpatient review at 3, 6 and 12 months after surgery. In our experience, patients with scoliosis are treated well and with a high degree of safety with the posterior pedicle nailing system orthopedic procedure. 7. What is the prognosis for untreated scoliosis? Most scoliosis patients, if not treated, especially young patients, the deformity will gradually aggravate, affecting the patient’s appearance, resulting in a lack of self-confidence, easy to disengage from society, affecting learning and life. In severe cases, spinal deformities can affect cardiopulmonary function and even shorten the life expectancy of the patient.