An adjustment device for a splicing display screen includes: a housing including housing walls and an accommodating cavity, the housing walls including first, second, third and fourth housing walls; a piston member including a piston and a piston rod, wherein the piston is slidably connected in the accommodating cavity, a through hole is provided in the fourth housing wall, and the piston rod is slidably connected in the through hole; an elastic pressing portion in the first housing wall, serving as a part of the first housing wall; and a hydraulic sensor in the accommodating cavity. The accommodating cavity is filled with hydraulic fluid, an inner surface of the elastic pressing portion contacts the hydraulic fluid, and the piston member is configured to be driven by the hydraulic fluid to move in an extending direction of the through hole in response to a pressure applied on the elastic pressing portion.