After patients with thoracic spinal stenosis are discharged home from the hospital, in addition to active rehabilitation, regular follow-up examinations are essential. During the two-year recovery period, patients need to be reviewed at three months, six months, one year, and two years after surgery. After two years, the patient will be reviewed every 1-2 years or as needed. It is important that the patient be seen in person for post-operative review, and that the physician assesses the patient’s neurological status in person and provides rehabilitation instructions based on actual recovery. In terms of imaging, thoracic spine X-rays are required for each review, which are combined with the relief of clinical symptoms to assess the efficacy of the surgery. As for CT and MRI examinations, they are not required at every review, but are determined by the physician based on the patient’s recovery of symptoms and what is to be observed at the specific follow-up time point. For example, if a patient reports that the weakness in the lower extremities has gradually worsened again at 9 months after surgery, an MRI or CT examination is needed to see if the spinal cord compression has not been completely released or if new compression factors have been introduced. In other words, MRI and CT examinations are mainly used to analyze the condition, but are not necessary to measure the efficacy of surgery. In addition, patients are advised to scan the doctor’s QR code to access the doctor’s online workstation, so that they can keep in touch with the doctor for a long time. This will help the doctor understand the patient’s current disease status and the development of the disease process, and provide timely guidance. For patients with postoperative thoracic spinal stenosis, it is most important to upload x-rays, and other tests such as labs, if available, can also be uploaded.