Hemivertebral deformity is most commonly seen in the thoracic spine, sometimes the lumbar spine may also appear, mostly due to congenital developmental abnormalities, such as congenital chondrodysplasia in the clinic is easy to appear hemivertebral deformity. For hemivertebral deformity, first of all, it should be recommended to improve the X-ray examination to clarify the deformed vertebrae, and if necessary, CT or MRI examination can be performed to clarify the diagnosis and make a comprehensive judgment of the whole body. If the deformity is mild, a thoracolumbosacral spinal brace can be used for correction, and functional exercise of the muscles should be strengthened. At the same time, various complications should be noted and prevented, especially in patients with severe spinal deformity and cardiopulmonary insufficiency. In the case of severe scoliosis deformity, surgery is usually required and the sooner the surgery is performed, the better the recovery.