Spiral fractures in children are a serious type of fracture and usually require surgical treatment to prevent the fracture from leading to malunion or non-union of the bone. Spiral fracture in children is mainly due to traumatic violence caused by fracture, fracture broken end shaping rotational displacement, is a serious type of pediatric fracture. For spiral fracture in children, due to the poor stability of the fracture broken end, surgery is usually required to reset the fracture and fix the fracture broken end, in order to promote the early healing of the fracture and to avoid the occurrence of deformity healing and so on. Spiral fracture of children due to the rotational displacement of the broken end of the fracture, if the treatment is not timely, it is easy to cause deformity of the bone healing, or the fracture does not heal, and in serious cases, it can lead to permanent loss of function of the limb, the specific treatment can be consulted with a professional doctor’s opinion.