Spinal curvature affecting balance, load distribution, and quality of life - treatment aligns function and pain relief with safety.
Adult scoliosis can be a continuation of adolescent idiopathic scoliosis or a new degenerative curve that develops with aging. It affects balance, load distribution, and foraminal dimensions, impacting both function and comfort.
Treatment decisions balance functional goals with surgical risks, considering the patient's age, health status, curve severity, and symptoms. The goal is to improve quality of life while minimizing complications.
Different origins require different treatment considerations
Curve present since adolescence
May worsen with aging and degeneration
Fixed rotation and vertebral wedging
Uneven disc and facet wear
Most commonly affects lower back
Often includes nerve compression
Symptoms relate to imbalance, nerve compression, and functional limitations
Aching pain from muscle fatigue
Visible spinal curvature and imbalance
Increased energy expenditure for balance
Visible deformity affecting self-image
Nerve pain radiating into legs
Walking intolerance from stenosis
Neurological deficits in legs
Comprehensive evaluation of curve severity, balance, and functional impact
Full-length standing radiographs are essential to assess global spinal balance and curve severity.
Evaluation of how the curve affects daily function and quality of life.
Treatment approach depends on curve severity, symptoms, and patient factors
Non-surgical treatment focuses on symptom management and functional improvement.
Targeted nerve decompression for patients with neurogenic claudication but stable curves.
Extensive fusion surgery to correct deformity, restore balance, and relieve symptoms.
Motion-preserving techniques like ADR are rarely appropriate in scoliosis due to the complex three-dimensional deformity and need for comprehensive correction. Fusion remains the standard approach for significant adult scoliosis requiring surgery.
Complex reconstructions require careful patient selection and optimization
Osteoporosis treatment and optimization
Critical for fusion success
Comprehensive health assessment
Focus on pain relief and balance
Extended rehabilitation period
Permanent activity modifications
Get expert evaluation to determine the best treatment approach for your adult scoliosis.