Fourth case report: adolescent double thoracic, lumbar scoliosis patient over 45° still in treatment. On the left: posterior (first line), and sagittal (second line) aesthetics, and the brace in use (posterior - third line; lateral - fourth line) of all evaluations (apart the first visit, where aesthetics and first x-rays are shown) are reported from left (oldest) to right (last one). On the right, top-down, left-right direction: all x-rays of this case report of a patient still in treatment, and the graph with obtained results in the two curves: upper line, thoracic curve, lower one lumbar curve. C.F. has been evaluated the first time in September 2008, presenting with the first x-ray showing a thoracic right lumbar left scoliosis of 46°-39° (Risser 0). She started treatment with the Sforzesco brace 23 hours per day and SEAS exercises 2-3 times a week (45' per session): after 6 months, while growing 5.5 cm. (from 158.5 to 164), she was 36°-31° (Risser 0). Treatment continued 6 more months 23 hours per day, then reduced to 22: in this year, while growing 4 cm. (to 168), she reduced her scoliosis to 29°-27°. After 6 months at 20 hours, now she is wearing the brace 18 hours per day.