T he number of surgical treatment options for skeletally mature patients with spine deformities has expanded over the past several decades. Unfortunately, randomized controlled trials comparing operative with nonoperative management are lacking. Investigators have used varying classifications of clinical outcomes and procedure-related complications, making analysis of the literature difficult.
For years, spine surgeons have debated the best methods for treating scoliosis in adults. Spinal curvature often results in more back pain, leg pain and other symptoms for adults than teens because adults also can have degeneration in the discs between vertebrae, and spinal stenosis — a narrowing of the opening for the spinal nerves. To help answer that question, doctors at nine centers in North America followed more than adults who had discomfort due to lumbar scoliosis — deformities affecting the lower part of the spine.
Metrics details. Degenerative adult de novo DAD scoliosis appears characteristically in the sixth or seventh decade with symptoms of severe back pain and radiculopathy or spinal claudication. The aim of this study was to enhance the knowledge of perioperative complications and detect possible risk factors in this selective DAD scoliosis surgery.
Scoliosis — a lateral or sideways curvature of the spine in one or more places — is most frequently seen in children and adolescents. However, adults may also be diagnosed with scoliosis, either when a curve that existed in their youth progresses, or as a de novo newly diagnosed condition that can result from degenerative changes in the spine and osteoporosis. Figures Progression of adult scoliosis from age 14 top left to age 46 lower right.
Adult scoliosis refers to any case of scoliosis occurring in an individual over the age of eighteen. Individuals with adult scoliosis are skeletally mature and have distinct differences in terms of their presentation for treatment as well as for treatment options in comparison to their pediatric counterparts. Adult scoliosis encompasses a broad group of individuals who have varying causes of their spinal deformity.
The rapid increase of elderly population has resulted in increased prevalence of adult scoliosis. Adult scoliosis is divided into adult idiopathic scoliosis and adult degenerative scoliosis. These two types of scoliosis vary in patient age, curve pattern and clinical symptoms, which necessitate different surgical indications and options.
The site navigation utilizes arrow, enter, escape, and space bar key commands. Up and Down arrows will open main level menus and toggle through sub tier links. Enter and space open menus and escape closes them as well.
The authors reviewed the cases of 49 adult patients who had undergone surgical treatment for scoliosis average follow-up, 34 months; range, months. The patients were categorized according to age, which allowed analysis of the data comparing age and the incidence and level of pain, age versus the degree of curvature, and age versus the incidence of progression. The relative incidence of pain and progression as indications for surgery were found to vary with respect to age. In the younger groups, progression was more often the indication for surgery than in the older groups.
Treatment for adult scoliosis is becoming more prevalent as individuals strive to live longer and healthier lives. Many adults in their 30s and 40s that avoided treatment earlier in life are now noticing physical changes in posture and balance common of scoliosis. MYTH 1: Spine surgery is my only treatment option.