Spinal deformity is a complex three-dimensional malformation. The related imaging measurements are vital to its diagnosis and classification, treatment selection, efficacy evaluation and progress monitoring. With the development of science and technology and the deepening of research on spinal deformity, conventional deformity measurement methods and radiographic imaging techniques have been continually improved. The feasibility and effectiveness of the application of EOS imaging system and three-dimensional ultrasound imaging technology in spinal deformity have been confirmed by many studies, and the application of new measurement tools, techniques and artificial intelligence is also emerging. These technologies jointly promote the development of the spinal deformity measurement, making it more simple, safe, efficient and accurate, and convenient for clinical application. In this paper, based on the review of the current research progress in the imaging parameter measurement of spinal deformity, the advantages and limitations are analyzed in order to provide references for clinical application and research.