Complex Spine Condition

Adult Scoliosis

Spinal curvature affecting balance, load distribution, and quality of life - treatment aligns function and pain relief with safety.

What is Adult Scoliosis?

Understanding Spinal Curvature

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.

Types of Adult Scoliosis

Different origins require different treatment considerations

Idiopathic (Adolescent Onset)
Continuation of adolescent curve into adulthood

  • Established Curve

    Curve present since adolescence

  • Progressive Changes

    May worsen with aging and degeneration

  • Stable History

    Long-term curve stability assessment

  • Adult Onset

    New symptoms in adulthood

Degenerative Scoliosis
New curve development with aging

  • Asymmetric Degeneration

    Uneven disc and facet joint wear

  • Curve Progression

    Gradual worsening over time

  • Symptom Onset

    Pain and functional decline

  • Elderly Patients

    Typically affects patients over 60

Symptoms & Impact

Symptoms vary based on curve severity and location

Mechanical Symptoms
Pain related to spinal deformity
  • Back pain with activity and standing
  • Difficulty maintaining balance
  • Postural fatigue and discomfort
  • Reduced walking tolerance
Neurological Symptoms
Symptoms related to nerve compression
  • Leg pain or numbness
  • Weakness in legs or feet
  • Difficulty with coordination
  • Changes in walking pattern

Diagnosis & Evaluation

Comprehensive assessment to determine curve severity and impact

Clinical Assessment
Thorough examination focusing on deformity and function
  • Detailed pain history and symptom assessment
  • Physical examination for curve measurement
  • Balance and walking assessment
  • Neurological examination for nerve damage
Imaging Studies
Advanced imaging to assess curve severity and spinal balance
  • Full spine X-rays for curve measurement
  • MRI to assess nerve compression and disc health
  • CT scans for detailed bone anatomy
  • EOS imaging for 3D spinal analysis

Treatment Options

From conservative care to surgical correction

Conservative Treatment
Non-surgical approaches for mild to moderate curves
  • Physical therapy and core strengthening
  • Pain management and anti-inflammatory medications
  • Bracing for curve stabilization
  • Activity modification and ergonomic adjustments
Surgical Treatment
Surgical options when conservative treatment fails

Decompression

Relieving nerve compression when present

Spinal Fusion

Correcting deformity and restoring balance

Minimally Invasive Techniques

Smaller incisions and faster recovery

Get Expert Evaluation

Adult scoliosis can significantly impact your quality of life. Get a comprehensive evaluation to determine the best treatment approach for your specific case.

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