Patient Zhang X, male, 15 years old, found spinal deformity for more than 3 years, Ningbo, Zhejiang Province, abandoned by his parents since childhood, grew up in an orphanage, the deformity has increased significantly in the past 2 years, the pain in the lower back after sitting for a long time, affecting daily life, with the help of the Civil Affairs Bureau and well-wishers, for further consultation and treatment as “adolescent idiopathic scoliosis, thoracic segment kyphosis, thoracolumbar segment kyphosis “He was admitted to the hospital. Zhu Xiaodong, Department of Spine Surgery, Shanghai Changhai Hospital Preoperative gross radiographs showed significant trunk tilt (Figure A), upper thoracic hunchback (Figure B) and razorback deformity (Figure C) Preoperative X-ray showed Cobb angle measurements T1-T7: 22°, T7-T12: 71°, T12-L5: 45° (Figure D); sagittal plane T5-T12: 47°, T10-L2: 15°, L1-L5 : 48° (Figure E), and preoperative total spine MRI showed severe spinal deformity and visceral displacement (Figure F). Postoperative X-ray showed Cobb angle measurements T1-T7: 15°, T7-T12: 30°, T12-L5: 20° (Figure G); sagittal T5-T12: 40°, T10-L2: 5°, L1-L5: 54° (Figure H), and the patient recovered normal physiological curvature and trunk balance after surgery, and the cosmetic deformity disappeared (Figure I and Figure J).