Scoliosis progression is a dynamic process influenced by multiple factors, including growth dynamics, skeletal maturity, genetics, and degenerative changes. While the rate of progression slows after skeletal maturity, it remains a lifelong concern, especially in the context of degenerative changes in adulthood. Various factors influence the scoliosis progression, including genetics, skeletal maturity, and degenerative changes in the spine. Effective management requires a comprehensive understanding of these factors and proactive interventions tailored to individual needs.