The correction of scoliosis includes the following aspects. The first is self-correction in daily life and study. Scoliosis occurs in adolescents. Pay attention to the correct sitting posture when studying, avoid bending to one side and sleeping on the table, which can prevent scoliosis from aggravating. The second is the correction of limb equipment. Wearing limb instruments can effectively correct scoliosis at an early stage. During the correction period, it is necessary to review regularly and replace the limb equipment of scoliosis regularly, which can make the correction effect better. The third is surgical correction. If the correction effect is not good, scoliosis can be corrected by surgical treatment, and most of them can be corrected by posterior nail internal fixation system, which can achieve good results.

Scoliosis, commonly known as scoliosis, is a three-dimensional deformity of the spine, including coronal, sagittal and axial sequence abnormalities. The spine of a normal person should be a straight line when viewed from the back, and both sides of the trunk are symmetrical. If the shoulders are uneven from the front, or the back is uneven from the left and right, it is necessary to suspect "scoliosis." At this time, the whole spine X-ray should be taken in the standing position. If the positive X-ray shows that the spine has scoliosis greater than 10 degrees, it can be diagnosed as scoliosis. Mild scoliosis usually has no obvious discomfort and no obvious physical deformity in appearance. Severe scoliosis will affect the growth and development of infants and adolescents, making the body deformed. In severe cases, it can affect cardiopulmonary function, and even involve the spinal cord, leading to paralysis. Mild scoliosis can be observed, and severe cases need surgical treatment. Scoliosis is a common disease that harms teenagers and children. The key is early detection and early treatment.

The treatment of scoliosis can be divided into two categories, namely non-surgical treatment and surgical treatment.

Common non-surgical treatments include physical therapy, gymnastics therapy, plaster cast, braces and so on. But the most important and reliable method is brace treatment.

Generally, idiopathic scoliosis within 20 degrees can be observed at close range without treatment. If it gets worse than 5 degrees every year, you should use braces. Adolescent idiopathic scoliosis with initial diagnosis of 30 ~ 40 degrees should be treated with braces immediately, because more than 60% of the patients in this group will develop and deteriorate. Adolescent idiopathic scoliosis requires surgical treatment in the following cases:

Chest bend is greater than 40 degrees, chest and waist bend/waist bend is greater than 35 degrees;

Brace treatment can not be controlled, and lateral curvature progresses rapidly;

People with obvious symptoms of low back pain or nerve compression.

Patients with congenital scoliosis should be operated as soon as possible if scoliosis is easy to progress or obvious progress occurs during the observation period. Generally, 3 ~ 5 years old is a good time for surgery.

Because of the complicated etiology and various types of scoliosis, it is not only based on the patient's age or the degree of scoliosis, but also the type, characteristics, segments, progress speed, bone age development and the influence of deformity on the patient's posture. It is recognized that progressive congenital scoliosis should be operated as early as possible, because it not only gets worse with age, but also becomes stiff and difficult to correct. However, the early posterior orthopedic fusion of childhood idiopathic scoliosis may affect the growth and development of its spine, and may aggravate the deformity in the long run. In addition, the balance of the spine and the influence of surgery on the growth and activity of the spine should also be considered. Therefore, every scoliosis patient should be analyzed in detail and individualized treatment measures should be taken.

The purpose of scoliosis surgery is: to prevent deformity from progressing; Restore spinal balance; Correct the deformity as much as possible; Keep as many active segments of the spine as possible; Prevent nerve damage. Using the current three-dimensional orthopedic technique and pedicle screw fixation technique, scoliosis can be well corrected by surgery, but it can't be corrected by 100%, because the tolerance of the patient's spine and spinal cord should be considered during surgery. Excessive correction can easily lead to internal fixation failure, increase the incidence of surgical complications, and even lead to nerve injury and paralysis. The correction degree of scoliosis varies with age, degree and etiology, and the correction rate of general idiopathic scoliosis can usually reach 60% ~ 80%.