Abstract: Objective To evaluate the choice of treatment method for traumatic splenic rupture in children.Methods A retrospective analysis of 70 children with traumatic splenic rupture was performed.Results Of the 70 children, 10 were managed with non-surgical treatment and cured. In the 60 children receiving operations, 35 underwent partial splenectomy or prosthesis, 25 had total splenectomy, and the other 21 received autologous spleen transplantation. The follow-up study of 61 children lasting for 3 months to 5 years after operation did not reveal the occurrence of overwlrelmingpostsplenectomy infection.Conclusion The decision on adequate management of traumatic splenic rupture in children should be made on the basis of the patient’s condition and severity of spleen injury, and autologous spleen transplantation can be safe and effective in children with splenectomy.