It is typically seen in the lumbar spine (lower back), and usually accompanied by straightening of the spine from the side view (loss of lumbar lordosis).
Disc degeneration and spinal stenosis associated with adult degenerative scoliosis can cause the following symptoms:
Nonoperative treatment is appropriate for the majority of adults with degenerative scoliosis who don't have disabling symptoms. Treatments include:
Stronger pain medications can also be habit-forming and must be used with caution. If narcotics are needed to control the pain, see a scoliosis surgeon to learn more about the pain generators.
Surgical treatment is reserved for patients who have:
The goals of surgery are to restore spinal balance and reduce pain and discomfort by relieving nerve pressure (decompression) and maintaining corrected alignment by fusing and stabilizing the spinal segments. When patients are carefully chosen and mentally well-prepared for surgery, excellent functional outcomes can be achieved which can provide positive life-changing experience for a given individual patient. When larger surgeries—those greater than 8 hours—are necessary, surgery may be divided into 2 surgeries 5 to 7 days apart. Surgical procedures include:
Also known as de novo (new) scoliosis, this type of scoliosis begins in the adult patient due to degeneration of the discs, arthritis of the facet joints, and collapse and wedging of the disc spaces.
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