The study design was a retrospective study in adolescent scar contracture scoliosis caused by back scalding during the infantile period.The objective of the study was to investigate the pathogenesis, clinical manifestation and treatment of adolescent scar contracture scoliosis caused by back scalding during the infantile period.This condition seldom occurs and is not reported in current English literature.One patient was first treated with skin expansion, back scar excision and skin flap transfer, followed by anterior correction with TSRH instrumentation.Two patients were first treated with back scar excision and anterior spinal release.One patient was treated with posterior correction with TSRH instrumentation, and thoracoplasty was performed after 50 days in halo-wheelchair traction.The other patient was treated with posterior correction with TSRH instrumentation.No management of scalding was performed on the fourth patient.Anterior release and posterior correction were performed at an interval of 3 weeks.