Context: Congenital scoliosis is a difficult condition for orthopedic surgeons. There are some influencing factors to choose the best treatment option in scoliosis. Patients with congenital scoliosis may have different anomalies. There are different surgical techniques with different indications.
Evidence acquisition: electronic databases like Google Scholar, PubMed, and Scopus were searched for congenital scoliosis. Articles were between 1928-2020. A narrative review was conducted by focusing on treatment options.
Results: Different methods are in the literature, consist of operative and nonoperative. Nonoperative treatments are seldom a final treatment. They are used to postpone the final surgery. There are different methods of surgeries in the literature, the best treatment strategy is related to the patientschr('39') condition and the surgeonchr('39')s preference.
Conclusion: The critical thing in the management of congenital scoliosis is to diagnose these patientschr('39') curve before severe progression, this is mandatory to achieve good results.  Usually, a course of nonoperative treatment can be started but only to postpone the final surgery. The preferred surgical treatment depends on the type of congenital scoliosis and the age of the patient. The treatment of congenital scoliosis should be a multidisciplinary approach due to concomitant morbidity in these patients.

Keywords: Congenital Scoliosis, Classifications, Diagnosis, Surgical treatment

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