When we send our children to school every day, we pay proper attention to their gait and arrange for them to be seen by a pediatric rheumatologist as early as possible if abnormalities appear. The diagnosis and treatment of chronic spondyloarthropathies in children can now be diagnosed earlier. In particular, MRI and immune-specific tests (HLA-B27, anti-CCP antibodies, etc.) allow early diagnosis of juvenile idiopathic arthritis and juvenile ankylosing spondylitis. In recent years, with the clinical application of new drugs (anti-inflammatory therapy, combined protocols, biological agents), most children can achieve remission and the incidence of severe disease has decreased significantly.