Thoracic s-shaped scoliosis in children can be corrected by external fixation with a brace at an early stage, and if the correction is unsatisfactory or secondary scoliosis in adults, it can be treated by surgery. For children’s thoracic s-type scoliosis can be corrected with external fixation of the brace at an early stage, which is suitable for the scoliosis angle between 25°~40°, and generally wear the thoracic brace for 20~22 hours a day, and review it once every 4~6 weeks. The main purpose is to prevent the support orthopedic treatment from being ineffective due to the increase in height. And for thoracic scoliosis below 25° can be followed up regularly for observation. When the angle of scoliosis deformity in children is above 40° and worsens by 5° year by year, or the correction is not satisfactory, or the scoliosis deformity in adults progresses gradually, surgical treatment is needed, such as scoliosis orthopedic and spinal fusion treatment. In patients with s-shaped scoliosis of the thoracic spine, it is recommended to seek timely medical attention for targeted treatment.