Physical examination We need to see whether his shoulders and back are flat, and what changes there are in his walking posture, through which we can make physical judgment. The most important part of the imaging examination is to take an X-ray, which has special requirements and requires a standing full spinal frontal and lateral view. When taking the standing full spine X-ray, it is necessary to pay attention to the following: First, the X-ray should be taken in a standing position, so as to accurately reflect the severity of scoliosis. Second, an x-ray of the entire spine, including the head and pelvis, should be taken so that it can be seen where the spine is really curved. In some hospitals, only a portion of the spine (e.g., the thoracic or lumbar spine) is x-rayed, which does not provide an overall view of the scoliosis. If surgery is needed, it is possible that an MRI and 3D CT will be needed.