[Purpose] Untreated early-onset scoliosis may eventually progress to more than 90° after
growth, cause severe health problems, and increase chance of mortality. Therefore,
surgical intervention is often indicated prior to the development of a life-threatening
deformity. This case report aims to reveal how a 76-year-old male patient with curves
exceeding 110° is functioning with minimal difficulty. [Subject and Methods] The patient,
who has never had surgical intervention for scoliosis, can perform his everyday
activities. His curves were 111° thoracic and 118° lumbar when he presented at the
author’s office in January 2015. [Results] The patient reported that he rarely needs a
physician and participates in endurance sports like jogging. Despite this, the patient
recognizes his restrictive ventilation disorder (shortness of breath) when he is inactive.
The patient complained of shortness of breath and cosmetic concerns. [Conclusion] The
current guidelines indicate that early-onset scoliosis should be operated at a young age;
however, this protocol is not supported by high-quality evidence. Notably, patients with
curvatures exceeding 100° after puberty may have a reasonable quality of life when they
lead an active life with regular participation in endurance sports and physical
rehabilitation.