Adolescent idiopathic scoliosis (AIS) is characterized as a puberty-onset spinal deformity that affects millions of children worldwide. 1 Although great progress has been made in the study of AIS over the last 20 years, its pathogenesis is far from fully understood due to its genetic complexity. 2 Spinal fusion is recommended for AIS patients with Cobb angles exceeding 45°, but the risks and health economics related to surgical treatments are thorny issues. 3 Clarifying the pathogenesis of AIS is of great significance for its early diagnosis, prevention, and treatment.