Abnormalities in the morphology and function of the spine mainly due to asymmetric degenerative changes of the small joints and discs of the spine, ageing, osteoporosis and compression fractures. Angle R10 on the coronal plane. Effects on the elderly: inability to walk long distances, to look after children, to travel, and to perform the labor intensity of family life. Treatment options: 1. If the scoliosis deformity is relatively small, a treatment responsibility gap can be performed. Perform effective decompression and fixation surgery such as simple lumbar disc removal, single gap fusion, and double gap fusion. 2, If the scoliosis deformity is relatively large, at about 30 degrees. Clinical back pain or symptoms of lumbar lumbar pain, generally implement long stage orthopedic fixation. Degenerative scoliosis surgery is one of the largest operations in spine surgery. Traditional surgical approaches: posterior median dissection and decompression, internal fixation with pedicle nailing, and multi-gap interbody fusion surgery. Advantages: it can relieve clinical symptoms. Disadvantages: very traumatic, relatively high blood loss, up to >3000 ml. Minimally invasive surgical methods: lateral approach interbody fusion, posterior percutaneous internal fixation with pedicle nailing. Advantages: can relieve clinical symptoms, less trauma, less blood loss.