The importance of silicon (Si) in sugarcane is well known, but its effects on changing C:N:P stoichiometry enough to increase pre-sprouted seedling (PSS) and sugarcane development in the field remains unknown. To that end, the present study aimed to assess whether Si fertigation favors its absorption enough to change elemental stoichiometry (C:N:P), physiological attributes and PSS growth, as well as the growth, stem yield and juice quality of sugarcane. Two field experiments were conducted in the PSS formation stage and another in the sugarcane plant development phase. Experiment 1 was carried out in a greenhouse with PSSs under two treatments: in the absence and presence of Si (2 mmol L−1) fertigation. Experiment 2 was performed in the field in red-yellow argisol with the sugarcane plant undergoing the following treatments: absence of Si (No Si); Si supplied by fertigation during the PSS formation and sugarcane plant development phases (Si–C); and Si supplied during the PSS formation and sugarcane plant development phases (Si–M+C). The following were assessed in experiment I: growth, leaf green color index (GCI), chlorophyll fluorescence, C, N, P, and Si content, and C:Si, C:N and C:P stoichiometric ratios. In experiment II, the same stoichiometric ratios were assessed, as well as sugarcane growth, stem yield and juice quality. Si reduced the C:Si, C:N and C:P stoichiometric ratios in PSS. The C:Si ratio in the leaves and stems declined with the supply of Si, while the C:N and C:P ratio in the leaves and stem was higher in plants that received Si in the Si-M+C treatment. Applying Si fertigation in PSS formation to promote changes in C:N:P stoichiometry favored photosynthetic efficiency and growth. The Si–M+C treatment stood out, since it also caused enough C:N:P stoichiometric changes to increase sugarcane growth, yield and juice quality.