Due to the stiffness of the spine, the orthopedic rate of adult scoliosis is poorer than that of adolescent scoliosis, especially for those with severe scoliosis and stiffness. Therefore, the principle of management of adult scoliosis patients is to maintain the coronal and sagittal balances of the spine on the basis of moderate orthopedic treatment, and at the same time to preserve as many lumbar spine segments as possible, and the specific orthopedic rate of the scoliosis is not the most important thing. This needs to be specifically stated. Adolescent scoliosis patients with the same type and degree of scoliosis will definitely have a higher correction rate than adult patients. This patient belongs to three curves, main thoracic curve + structural upper thoracic curve + flying structural curvature, what we did was selective fusion of main thoracic curve + upper thoracic curve, the curvature was not fused, the purpose is to retain basically complete lumbar spine mobility for the patient, the patient is a martial arts enthusiast, and hopes to still be able to perform that sport activity after surgery, and requires that the lumbar flexibility be maintained as much as possible during surgery. Therefore. The patient’s postoperative films do not look straight. It should be noted that the main surgeon, Prof. Tao Huiren, was more concerned with the patient’s postoperative function, followed by whether or not the spine was straight. A well-functioning residual curved spine is superior to a poorly functioning straight spine. The patient’s intraoperative curvature was not corrected by internal fixation, which maintained lumbar mobility and had little effect on later activities in life, thus correcting more than 60% of the primary curvature. The reason for emphasizing this point of view is that some patients and their families may feel that the correction rate is not high simply from the films, and may feel that there is still some curvature, questioning why it is not “completely corrected”! Different treatment concepts, focusing on the rate of postoperative correction or focusing on the quality of life of the patient’s postoperative state of life, there will be different types of fixation, different treatment results. When choosing a surgeon, patients are advised to communicate with the surgeon more often in order to obtain the most satisfactory treatment results.