Conservative therapy is the primary choice for mild-to-moderate adolescent idiopathic scoliosis (AIS), and its multidimensional attributes are critical clinical characteristics. Effectively assessing these dimensions, tailoring treatment strategies, and evaluating their effectiveness are essential aspects of clinical practice in conservative therapy. However, discrepancies often exist between imaging-based outcomes and patient-reported concerns, and the frequent use of imaging is limited by radiation exposure. Consequently, some evaluation tools, particularly those based on patient-reported outcomes, have gradually become important clinical references. This study aims to explore the multidimensional evaluation indicators and tools associated with conservative therapy for AIS, to guide the selection of appropriate evaluation methods in clinical practice. Relevant literature was systematically retrieved and reviewed to categorize and summarize the multidimensional evaluation tools used in conservative therapy, clarifying their applicability and limitations. Five main dimensions and their corresponding evaluation tools were identified, including physical appearance assessment, quality of life assessment, negative emotions assessment, pulmonary function and exercise tolerance assessment, and joint laxity assessment. Multidimensional evaluation methods have increasingly become critical references in conservative treatment for AIS, particularly tools based on patient-reported outcomes, which provide guidance for individualized interventions. Future efforts should focus on optimizing or developing evaluation tools tailored to the characteristics of Chinese adolescents to improve the effectiveness of conservative therapy.

保守治疗是轻中度青少年脊柱侧弯（AIS）的首要选择，多维度属性是AIS的重要临床特征，如何有效评估其不同维度、针对性地给出治疗方案并评价其疗效是保守治疗临床实践的重要内容。影像学的结果与患者诉求间存在不对等，且受限于辐射剂量无法频繁使用。因此，以患者自我报告结局为代表的部分评估工具逐渐成为重要的临床依据。本文通过检索、梳理相关文献，总结了当前保守疗法所关注的各个维度及不同维度所使用的评估工具，明确其适用范围及局限性，并将其分为身体外观评价、生活质量评价、负性情绪评价、肺功能及运动耐量评价和关节松弛程度评价5类。多维度评估方法逐渐成为AIS保守治疗中的重要依据，尤其是以患者自我报告结局为代表的工具，为个性化干预提供了指导。未来可进一步优化或开发符合我国儿童青少年特点的评估工具，以提高保守治疗的有效性。