Adolescent scoliosis is the most common of the various spinal deformities. Among them, idiopathic scoliosis is more common, accounting for about 80% of all scoliosis. The so-called idiopathic refers to a type of scoliosis where the cause is not clear, or the cause is not found, which is different from the congenital scoliosis and neuromuscular scoliosis caused by neuromuscular lesions. Idiopathic scoliosis is common in adolescents, especially in women, and often starts in adolescence, progresses rapidly, and is often treated improperly, often with adverse consequences. How can scoliosis be detected early? Early scoliosis is not painful, and the abnormal appearance is not obvious, especially when wearing clothes, so it is recommended that parents should pay more attention to their children’s spine health, a normal spine has a good physiological curvature, usually the human thoracic and lumbar spine has a certain amount of backward and forward convexity. In the standing position from the back of the body, the spine is not curved. If the spine is found to deviate from the centerline, bend to the left and right, asymmetrical bilaterally, with unequal shoulders, etc., this may suggest scoliosis. You can also observe if the spine is in a straight line by touching the spines with your hand, or by having your child stand upright and bend forward to see if the back is symmetrical. If, after a simple examination, you find that your child has an abnormality, you should send your child to the hospital immediately. The doctor will diagnose scoliosis and measure its measurement based on the child’s frontal and lateral spine x-rays. Zhang Jiahong, Department of Orthopedics, Shanghai Xinhua Hospital, estimates that the incidence of idiopathic scoliosis in children under 16 years of age is 2% to 3% above 100. a calculation table designed by Nachemson shows that the greater the curvature, the lower the incidence (Table 1). The importance of the incidence study is to show that mild scoliosis is taught to be common, while scoliosis with larger curvature angles is less common. Scoliosis of 100 or more requires treatment in less than 10% of cases. Once scoliosis is identified in a child, the angle of scoliosis should be measured to estimate the likelihood of scoliosis progression. 3% of adolescents with idiopathic scoliosis can improve spontaneously, with the majority of scoliosis being less than 110. a number of factors are thought to be associated with the development of scoliosis, such as more girls than boys; pre-menarche; slipped iliac epiphyseal nodes (Risser’s sign) grade 0; and more double- than single-arc curvature. thoracic scoliosis more than lumbar scoliosis; and more severe scoliosis. The development of adolescent idiopathic scoliosis usually occurs during a period of rapid growth prior to the onset of menstruation. The incidence of scoliosis development decreases as the patient ages.The Risser sign is an important indicator of skeletal maturity. The average rate of scoliosis progression from the onset of Risser’s sign to Risser’s sign grade 4 is 30 per year. scoliosis progression continues until it stops at Risser’s sign grade 5 (complete closure of the iliac crest epiphysis), and in some patients complete closure of the iliac crest epiphysis does not occur until 18 to 19 years of age. In milder cases, adolescent idiopathic scoliosis is aesthetically displeasing; in severe cases, it can cause back pain and affect cardiopulmonary function. A small number of scoliosis may produce neurological symptoms or even paraplegia as the degree increases.