Scoliosis is a three-dimensional deformity of the spine. The disease can be clinically diagnosed when adolescents have structural scoliosis (Cobb angle >10. on coronal radiographs, combined with rotational deformity of the spine) without other organic disease. As scoliosis progresses, it not only affects the physical and mental health of the affected child, but also endangers cardiopulmonary function; treatment is expensive and creates a heavy burden on society or the individual. Therefore, it is particularly important to properly intervene early in adolescents with idiopathic scoliosis. 1. Mechanics of scoliosis pathogenesis: Asymmetric development of the spine is one of the causes of the approximate pathogenesis of AIS. The longitudinal growth of the vertebral body is carried out by the 2 cartilage endplates above and below the vertebral body through subchondral osteogenesis. Hueter and Volkmann concluded that the longitudinal growth of the vertebral body is related to the stress on the cartilage endplates, and that vertebral growth is inhibited when they are subjected to increased stress, while growth is accelerated when the cartilage endplates are stretched. Thus, asymmetric stresses on the spinal cartilage endplates lead to asymmetric growth of the spine and the formation of wedge-shaped changes in the coronal position of the vertebral body. According to the above theory, the redistribution of stress on the end plate will promote the normal growth of the spine, the original concave side of the end plate is in a state of growth inhibition due to compressive stress, after the orthopedic treatment combined with brace this compressive stress reduction is conducive to the restoration of normal growth of the end plate cartilage. 2, Chinese medicine treatment: spinal orthopedic manipulation can adjust the position of the vertebral articulation joints and nerve roots and surrounding tissue structures. Thus, the clinical symptoms of scoliosis can be improved, so that the spine maintains a dynamic balance, so that scoliosis can be corrected. The method does not affect the growth and development of adolescents during treatment, and the chiropractic force can be changed flexibly according to the patient’s condition, so that the treatment is tailored to the individual. However, orthopedic manipulation must adhere to the treatment, early detection, early treatment effect is better, the younger the patient the better. 3, brace treatment: brace is divided into two categories: CTLSO and TLSO. CTLSO is the cervical-thoracic-lumbar-sacral orthopedic device, the representative brace is Milwaukee brace. the significant advantage of Milwaukee brace is that the height of the brace can be adjusted longitudinally, and can add a variety of role pads, open structure makes it cooler, and does not affect the development of the thoracic contour. The TLSO is a thoracic-lumbar-sacral orthosis, also known as an axillary brace, and is divided into two types: high profile and low profile. Representative low-profile braces include the standard Boston thoracolumbar brace and the Wilmington brace; the representative high-profile brace is the Boston thoracic brace, which has a stretching device attached to the standard Boston thoracolumbar brace. The treatment plan of the brace should be individualized and not forced to be uniform. When the brace is started, the brace is worn for at least 23 hours per day, with one hour reserved for bathing, gymnastics and other activity exercises. X-ray follow-up every 3 to 4 months to check the deformity. After half a year of brace treatment, if the scoliosis is reduced by more than 50%, intermittent brace treatment can be started gradually, and the brace can be removed for 3-4 hours a day; if the deformity loss does not exceed 3-4 degrees, the intermittent time can be extended, but it cannot exceed 3 hours a day every 3 months, and the brace can be worn at night later. Brace therapy needs to be consistent, if not contraindicated, brace use should be until the bone growth and development is mature. Although bracing is effective in the treatment of idiopathic scoliosis, there are certain problems, including chest and back, local pressure sores, effects on pulmonary function, and psychological effects on the patient. Conclusion: The etiology of idiopathic scoliosis is unknown, and a large number of patients with severe scoliosis requiring surgical orthopedics currently present in the clinic are due to early untreated or inappropriate treatment strategies. Therefore, early non-surgical treatment is particularly important. For mild to moderate scoliosis, treatment is based on orthopedic release with physician guidance combined with continuously adjustable bracing.