Scoliosis is a very common condition, affecting approximately 7 million children in the United States. Treatment of this condition in young children can be challenging. A variety of techniques that avoid spinal fusion have been developed to manage scoliosis in this patient population. This review article describes several of these methods, including growing rods, prosthetic ribs, vertebral stapling, and vertebral tethering. Particular attention is given to literature discussing each technique.