Approximately 2% to 4% of adolescents suffer from scoliosis worldwide. Among them, some patients with severe progression need to receive posterior orthopedic surgery. Concerning this kind of surgery is time‑consuming and traumatic, which may lead to massive blood and fluid loss, thus optimization of the fluid management strategy to avoid damage caused by intraoperative excessive or insufficient fluid volume to important organs of adolescents is one of the keys to the success of the surgery. At present, there is no consensus on the strategies of fluid management in such surgeries. This paper reviewed the latest research advances in the strategy of intraoperative fluid infusion and blood transfusion, including volume monitoring indicators, fluid infusion methods, liquid types, blood conservation, and transfusion indications, to provide new ideas for further optimization of fluid management in such surgeries and theoretical support for further studies.