A Girl with 48° Thoracic Curvature Successfully Avoids Surgery!

2026-01-30

We all know that correcting thoracic curvature in scoliosis is very difficult, and thoracic curvature with a large angle accompanied by vertebral rotation is even more challenging. However, Xiaolv has successfully corrected her scoliosis from 48° thoracic curvature to 25°, eliminated the risk of surgery. So how did she make it?

Neglecting the issue after noticing abnormal appearance has led to the thoracic curvature worsening to 48 degrees within a year. When Xiaolv was 11 years old, her parents accidentally noticed that she had uneven shoulders. As she didn’t feel any uncomfortable, she ignored the symptom and didn’t go to the hospital for further examination at that time.

A year later, her parents found that Xiaolv’s high and low shoulders and deviation of the body became more and more obvious, especially when she bent over, her back bulged out a large bag. At this time, Xiaolv’s parents became very anxious. Through the recommendation of friends, they found Pro. Yang and went to Xinmiao Centre for scoliosis examination.

Xiaolv was diagnosed as severe scoliosis, with a thoracic curvature of 48°, thoracic vertebrae II° rotation, an obvious right razor back, a right side of the trunk offset, asymmetrical changes in the left and right thoracolumbar contours, with obvious indications for surgery.

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Angle and appearance before treatment

Because the main curve of Xiaolv's scoliosis was in the thoracic segment, and it was accompanied by vertebral body II°rotation, which greatly increases the difficulty of treatment. After a comprehensive evaluation, Professor Yang and his Xinmiao medical team tried to personalize a conservative treatment plan for her.

Strictly adhere to Xinmiao doctor's instructions, Xiaolv's scoliosis corrected from 48° to 25°

According to Xiaolv's condition, Xinmiao medical team made a comprehensive conservative treatment plan for her, including bracing, intensive rehabilitation treatment, and physical exercise programme.

Xiaolv insisted on wearing the brace every day, and ensure 1.5h daily physical exercise, and regularly returned to Xinmiao Centre for intensive rehabilitation treatment and follow-up adjustments according to doctor's instructions.

After 8 months of comprehensive treatment, Xiaolv came to Xinmiao Centre for follow-up examination, the result showed that the thoracic curvature was reduced by 10°, which made Xiaolv's family very happy.

However, this was only a phased victory, and Xiaolv needed to adhere to the treatment for further correction. According to the changes in scoliosis, Xinmiao medical team readjusted the treatment plan for Xiaolv.

In this way, through 2.5 years of hard work, Xiaolv's thoracic curvature had been corrected from 48° to 25°, the lumbar curvature had been corrected from 26° to 13°, the lateral curvature had successfully recovered under 30°, and the appearance deformities such as razor back and torso deviation had also been significantly improved. There was no need to worry about surgery.

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Changes in the angle and appearance of the treatment process

Doctor's review

Xiaolv was diagnosed with scoliosis at the age of 12, with Cobb angle of 48°, a large thoracic curvature angle, a serious torso deviation, a vertebral body II° rotation, and a very obvious razor back, which greatly increased the difficulty of treatment; At that time, Risser's sign was grade 1, at the peak of growth and development, and the risk of progression and aggravation of scoliosis was very high. If timely and effective treatment was not obtained, it was likely that the scoliosis would further aggravate in a short term and surgery would be necessary.

However, at this age, Xiaolv’s spine and surrounding tissues were relatively flexible and plastic. Xinmiao comprehensive conservative treatment with long-term follow-up and adjustment realized obvious improvement results. We could see the Cobb angle had been improved from the initial 48° to 25°, and surgery was successfully avoided. Of course, this effect was inseparable from the compliance of the patient and the companionship of parents.

Now, Xiaolv's Risser's sign is grade 5, and the skeletal development is basically stable, and the risk of rapid progression has been reduced. Next, Xiaolv will insist on wearing brace, adhere to physical exercise and intensive rehabilitation treatment, so as to further correct scoliosis and restore spinal health.

Yang Junlin

Dr. Yang has worked in orthopedic clinical field for over 30 years, and specializes in spinal deformities.
· Over 4000 corrective surgery
· Over 20000 conservative treatment
· Over 3 million scoliosis screening

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