昨天就新收一个11岁男孩，学校脊柱侧弯筛查，认为有问题，但不明白是什么问题？于是推荐来我们医院的脊柱专科，详细检查：胸椎前凸与腰椎后凸，与正常情况是相反的，当与正常的生理结构相反后，脊柱会变得不稳定，部分人会向侧方移位，于是出现高低肩与骨盆旋移等，弯腰时有剃刀背，表现为脊柱侧弯。与长时间坐着打游戏有一定的关联性。

至少就特发性脊柱侧凸而言，人们普遍认为其腰椎前凸减少，而胸椎则倾向于呈现前凸性的姿势畸形（Dickson, Tomaschewski；参见关于“平背”的章节）。

当然，也存在无法通过主动方式矫正的此类结构性改变，例如伴有部分固定性畸形的情况（Meister, Heine）。在畸形存在的情况下，身体各节段会相应调整形态以适应脊柱状况；即使腰椎和颈椎仅有轻微的代偿性反向弯曲，也可能形成功能性的三弯型脊柱侧凸。治疗方案需根据患者的具体情况制定。
For idiopathic scoliosis at least, it has been assumed that the lumbar spine has decreased lordosis while the thoracic spine tends to present a lordotic postural deformity (Dickson, Tomaschewski: see the sections on flatback). Of course, there are structural changes of this type that cannot be corrected actively, such as cases with a partly fixed deformity (Meister, Heine). In the presence of deformity, different parts of the body segments adapt their appearance to the spine, and functional three-curve scoliosis can exist even in the presence of only minor lumbar and cervical countercurvatures. Treatment is adapted to the individual situation.