Adolescent idiopathic scoliosis (AIS) is the most common form of spinal deformity with an incidence of 1%-4%. 1 It is seen more frequently in adolescent females than males, for example, a cohort study from Hong Kong found that during adolescence, the ratios of AIS in girls to boys ranged from 2.7 to 8.4 with increasing spinal curvature. 2 Clinically, it is characterized by three-dimensional spine deformity, and especially by scoliosis in the sagittal plane and rotation in the coronal plane. Although the pathogenesis is still unclear, several factors appear related to AIS occurrence, including genetic, 3 endocrine hormones, 4,5 biomechanics 6 and environmental. 7 The association of endocrine hormones and AIS is of particular research interest. Adolescence is a stage of body growth, when the levels of various hormones that regulate body growth and development are changing quickly. Several studies have reported that adolescents who develop AIS have abnormal levels of multiple hormones, suggesting that hormonal factors may play a role in the occurrence and development of AIS (Table 1). For example, AIS is more common in females, suggesting that AIS may be related to abnormal levels of female sex hormones