ADULT SCOLIOSIS

ADULT SCOLIOSIS

Scoliosis refers to a lateral curvature of the spine exceeding 10 degrees in the anteroposterior (front-to-back) view, representing a three-dimensional deformity. Adult scoliosis is scoliosis that either persists from childhood or arises in adulthood due to spinal degeneration (wear and tear). It can be related to congenital bone anomalies present from childhood or can manifest as the adult form of idiopathic (unknown cause) scoliosis.

Adult degenerative scoliosis results from the aging and degeneration of the spine. It occurs due to the deterioration of cartilage and bone tissue and the wear of intervertebral discs. The incidence increases with age and is more common in women. Osteoporosis accelerates this process.

Patients primarily experience lower back and leg pain, reduced walking distances, and changes in walking patterns due to forward bending of the spine.

 Treatment Options for Adult Scoliosis:

The treatment of adult scoliosis varies based on the patient's symptoms, the severity of the scoliosis, the curvature shape, and other factors. Treatment options may include:

 Medication:

Pain relievers, anti-inflammatory drugs, or muscle relaxants can be used to manage pain.

Physical Therapy and Exercises:

Special physical therapy programs and exercises can be applied to increase spinal stability, reduce pain, and improve posture.

 Injection Therapy:

If the pain is severe and does not respond to other treatments, epidural steroid injections or other injection therapies can be considered to reduce spinal pain.

Surgical Intervention:

Surgery may be necessary if symptoms are severe, the spinal curvature has progressed, other treatments have failed, and there is weakness in the legs. Surgical intervention includes various procedures to correct the spinal curvature, provide stability, and alleviate symptoms.

In adult scoliosis, surgical treatment is superior to conservative treatment. Patients who undergo surgery experience improved quality of life postoperatively. Untreated adult scoliotic deformities tend to progress.

Each treatment option has its advantages, disadvantages, and suitability conditions.

Patients should be thoroughly evaluated to determine the most appropriate treatment plan.