While many parents take their children for vision tests and dental work during summer vacation, few take them for spinal checkups. “How can a child have spinal problems? Isn’t that a disease of middle-aged and old people?” Many moms and dads think so. However, according to a survey of 8,165 students between the ages of 6 and 15 in China, 2.4% of them had scoliosis of more than 10 degrees. There are many reasons for scoliosis, including congenital, idiopathic, and neuromuscular, etc., with the highest incidence of adolescent idiopathic scoliosis deformity. Adolescence is the second growth spurt of the human body, the spine grows fast, the original mild scoliosis during this period also aggravate faster, usually a year time will increase 5-10 degrees of curvature, or even more serious. Early minor scoliosis caused by the appearance of abnormalities is not obvious, 20 to 35 degrees of moderate children, the symptoms are only apparent, even wearing clothes, can be seen in the shoulders of a high and low. In many cases, parents do not notice the abnormality until their child has developed moderate scoliosis and then take their child to the hospital. Is adolescent idiopathic scoliosis caused by poor sitting posture, inappropriate exercise and poor nutrition? The cause of scoliosis is still unknown. If scoliosis is not detected and treated in time, the condition of most patients will aggravate and eventually cause serious physical deformities, which will cause the following damages to the patients’ health: 1. Affecting physical appearance and psychology. 2. If you do not pay attention to observation, early scoliosis is often overlooked, many children are waiting until the appearance of obvious deformities, spinal curvature, back asymmetrical bulging (“razor back”) when it was discovered. At this point, the child’s body shape is significantly affected, with unequal shoulders, unequal length of the lower limbs, and distortion of the body. At the same time, children with “curved” backs do not grow taller, and many children with scoliosis are shorter than their peers. Many children with scoliosis are shorter than their peers, resulting in their self-confidence being undermined, which is not conducive to their mental health, and in severe cases, they may develop autism. 2, affecting cardiorespiratory health and fertility. Severe scoliosis causes a reduction in the area of the chest, abdomen and pelvis, and the internal organs are pressurized, which affects the normal physiological functions of the patient’s respiratory system, digestive system, blood circulation, etc. In adulthood, the more severe scoliosis will cause a reduction in the area of the chest, abdomen and pelvis. After adulthood, more serious scoliosis female patients may affect fertility.3, affect the function of the limbs. Scoliosis causes spinal imbalance of force on both sides of the spine, can cause low back pain, and can be produced on the concave side of the intervertebral space, intercostal space narrowing, compression of the spinal cord or nerves, lead to spinal stenosis, herniated discs, leading to numbness of the limbs, serious paralysis. About 3 million people in China suffer from spinal deformities, mostly children and adolescents, and the gender ratio of scoliosis patients is 1:8, with the number of women suffering from the disease being higher. The reason why scoliosis “favors” women is because of the female estrogen receptor gene. Chinese women have some special growth patterns, such as early menstruation, thin and tall, and asymmetrical breast development. If a girl has early menstruation, grows too fast and too tall during puberty, has a body shape like a bean sprout, and has asymmetrical breast development, these may be signs of disease. Scoliosis has a clinically significant family genetic predisposition, and the risk of developing the disease with a family history is 17 times higher than that of a normal person. Nowadays, there are more only children, and lateral inheritance can occur among cousins; twins may also have scoliosis successively. Generally, scoliosis is often found in adolescents between the ages of 10-15 years old, and at the beginning, it is mainly manifested in the appearance of shoulder asymmetry, and the back is high and low when bending down, commonly known as “razor back”. Such signs are often overlooked by parents and teachers, and some students enter boarding life too early for parents to understand their children. Encourage your child to participate in sports activities at school. Exposure sports, such as swimming and gymnastics, will enable teachers to detect any physical abnormalities early. For adolescents during pubertal development, parents should pay special attention to abnormal growth information specific to their children, especially in summer when their children’s clothes are thin. If parents find that the child has an uneven neckline, one side of the shoulder than the other side of the high; girls thin and tall development of early, asymmetric development of breasts, the left side of the breast is larger; one side of the back bulge; waist one side of the folds; both sides of the lower limbs are not equal length; one side of the hip than the other side of the high signs, need to be particularly vigilant. In addition, parents can also give the child to do some simple palpation check, such as touching the spine of the spine to observe whether the protrusion is in a straight line, or let the child stand upright and bend forward to observe whether the back is symmetrical. Early scoliosis can be treated without surgery. Early scoliosis can be treated with standardized non-surgical treatment in 70% of cases. Scoliosis up to 30 degrees can be corrected with orthopedic braces. Orthopedic braces are the only non-surgical treatment that has been proven to be effective in the treatment of scoliosis. Some of the so-called traction, massage, acupuncture, etc. that can treat scoliosis are not only ineffective, but may also delay the optimal time for treatment. When the scoliosis exceeds 40 degrees, surgery should be chosen. “Many parents are very afraid when they hear about surgery, but in fact, early surgery is very safe and effective.” And as the disease progresses, severe cases can have thoracic deformities and reduced lung capacity. Scoliosis to more than 60 degrees, will also affect the heart and lung development, serious and even lead to paralysis, if then think of surgery, the risk is very high. The best time to treat scoliosis is before the bones mature, and the earlier the treatment, the better the results, so regular checkups and early detection is the key.