Meng××, male, 35 years old, was admitted to the hospital with the main reason of “low back pain and discomfort with left lower limb pain for 3 years, aggravated for more than 1 year. Basic conditions at the time of admission: 1. 3 years ago, he developed lumbar pain and discomfort, radiating to the left lower limb. He was diagnosed with lumbar disc herniation and underwent lumbar disc nucleus pulposus excision, and the postoperative effect was average. Physical examination: visual examination: limping gait, high right shoulder, deviation of the spine to the right, the deviation basically disappears when the patient bends over and lies down. Palpation: mild pressure pain in and around lumbar 4, lumbar 5 and sacral 1 spinous process, percussion pain is obvious, radiating to the left lower limb to the ankle; left lateral calf and left dorsal foot sensation is obviously reduced. Movement: active movement of the lumbar spine was mildly restricted. The right shoulder was 50px higher than the left shoulder, and the left iliac crest was about 50px higher than the right. bilateral Achilles tendon reflexes were diminished. There was no significant abnormality in muscle strength. Third, auxiliary examination: MRI: lumbar 3/4, lumbar 4/5, lumbar 5/sacral 1 disc protrusion, corresponding vertebral body level dural sac and some nerve root compression. Admission diagnosis: 1, postoperative lumbar spine 2, spinal stenosis 3, scoliosis (postural) Treatment plan: posterior lumbar laminectomy, spinal canal decompression, nerve root exploration, lumbar 3/4, lumbar 4/5, lumbar 5/sacral 1 nucleus pulposus removal, Cage implantation, pedicle screw internal fixation, and bone graft fusion were performed under general anesthesia. The patient was considered to have pain-induced postural scoliosis, and the scoliosis should be able to correct itself after pain improvement, so scoliosis orthopedic surgery was not possible. At discharge: the fifth day after surgery, he walked on the ground and had good sensory activity of both lower limbs. Postoperative re-examination X-ray spine alignment is good, the position of the internal fixation is normal. Discharge diagnosis: 1, postoperative lumbar spine 2, spinal stenosis 3, scoliosis (postural)