What should I do if my child has a “crooked” spine? “We do pull-ups to correct it.” I’m sure many parents would answer this. “Not necessarily.” Pull-ups, lateral gymnastics and other physical exercise methods are only effective for mild scoliosis, but they do not solve the problem at its root. Especially for various structural scoliosis, exercise correction methods are simply ineffective. Eighty percent of children with unknown pathogenesis Every summer there are many children to treat scoliosis, some children obviously a shoulder high and a shoulder low, the body twisted to one side, adolescent scoliosis, also known as “scoliosis”, in medical terms, refers to the structural scoliosis deformity of the spine that occurs around the time of puberty, which is commonly known as “The prevalence of scoliosis in adolescents is estimated to be around 1.5 million. The incidence rate of scoliosis is around 1% to 3% according to domestic and international statistics. Some children have postural scoliosis caused by unilateral carrying of school bags, etc. This is not structural scoliosis and can be corrected by changing poor posture. Of course, if the spine is in poor posture for a long time, it is very likely to develop into structural scoliosis. The specific pathogenesis of structural scoliosis is unknown in 80% of patients. The main known diseases that can cause scoliosis are congenital scoliosis, neurofibromatosis, Marfan’s syndrome, neuromuscular scoliosis, and scoliosis of spinal cavity origin. The age of onset is two years earlier in girls than in boys, and scoliosis prefers girls, with a male to female ratio of 1:4. Some foreign studies suggest that girls are prone to the onset of scoliosis and estrogen and other factors. Statistics show that girls have the onset of scoliosis at the age of 10 to 14, while boys generally have it at the age of 12 to 16, two years later than girls, but the results are more severe because of the long developmental period. Because scoliosis does not cause significant discomfort in the early stages of the child’s development, muscle pain and other manifestations often do not appear until a year or two after the onset of the disease, and parents usually do not notice until the child has a pronounced “high and low shoulder” that affects the aesthetics of the body. Mild scoliosis generally does not lead to serious consequences, but as the child grows older, untreated scoliosis can develop further, causing not only low self-esteem and reduced outdoor activities and social interaction due to the deformity, but also serious physical and mental health due to the curvature of the spine to one side, which affects cardiopulmonary function by compression. The best time to treat scoliosis is during the growth spurt, that is, between the ages of 12 and 15, especially for girls, who are best operated on after the menarche, when bone growth is relatively stable and has less impact on the treatment effect. At this age, the earlier the treatment, the better, especially for patients with congenital scoliosis and large bending angle, treatment should not be delayed. The treatment of adolescent idiopathic scoliosis can be divided into the following cases: patients with mild scoliosis, i.e., Cobb’s angle less than 20° on the X-ray, can perform physical exercises to correct the posture and reduce the deformity under the guidance of a doctor, but regular observation and follow-up are required to prevent recurrence of the condition. Hanging a bar and doing pull-ups is a good way. You can also often do gymnastic movements to the reverse of the lateral convexity, and when you sleep, you can lie down in one direction, for example, if you have left-sided convexity, you can sleep on your left side and put a small pillow on the side of the convexity. Adolescent patients in this category should also be alert to the recurrence of the disease in adulthood. In some cases, physical work can aggravate the condition and not only “restart” the scoliosis process, but also cause low back pain and other neurological symptoms due to the deviation of the force line and degeneration of the vertebrae. Patients with scoliosis of 40° or less can be treated with non-surgical brace orthopedic treatment and regular follow-up, but surgery should be considered once the scoliosis angle progresses faster. As a method of treating the “root” of the problem, a more mature procedure is to “twist” the spine to its normal shape by inserting titanium “nails” into it, which are compatible with human tissue and generally do not need to be replaced for life. Only a very small number of people experience discomfort or require replacement due to metal fatigue breakage.