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.
Open surgery has traditionally been employed for adult lumbar degenerative deformities, often with multi-level decompression and fusion to stabilize the columns and reduce neural compression. However, there has been a surge in the use of minimally invasive approaches for the treatment of multi-level pathology including adult degenerative scoliosis. Minimally invasive approaches were introduced to address approach-related morbidity associated with open spine surgery, with increasing applications to more complex patient pathologies 1.
Scoliosis is an abnormal sideways curving of the spine. Everyone's spine naturally curves a bit. But people with scoliosis have a spine that curves laterally too much.
We strive to treat the whole scoliosis condition, not just the curve. For children, this means getting back to being a kid — not a condition. For adults, this means addressing the underlying causes of chronic scoliosis pain.
This approach, begun nearly ten years ago, results in correction of progressive scoliosis and takes advantage of future growth to result in further correction of the scoliosis over time. This occurs through growth modulation in which the tethered side of the spine grows less than the non-tethered side. The advantage of this surgery is that it preserves growth, flexibility, and may result in continuous correction of the spine over time while not stiffening the spine.
Top of the page. In spinal fusion for scoliosisrods, hooks, wires, or screws are attached to the curved part of the backbone and the spine is straightened. Small pieces of bone, called grafts, are then put over the spine.
Metrics details. Adolescent idiopathic scoliosis AIS represents a rare condition with a potentially detrimental impact on young patients. Despite vast clinical research and published treatment guidelines and algorithms, the optimal therapeutic choice for these patients remains highly controversial.
Scoliosis is an abnormal sideways curvature and rotation of the spine—the backbone of your body. Although most common in young teenagers, scoliosis affects children as well as adults. Scoliosis affects about two to three percent of children and teens, and up to 30 percent of adults worldwide. Scoliosis may be detected in infancy, childhood, adolescence or adulthood.
The management of spinal disorders is one of the fastest growing areas of musculoskeleal care, and there has been a recent increase and interest in managing spinal diseases by surgical means. However, there are significant controversies surrounding surgery for the treatment of spinal disorders related to degenerative conditions. An area that is somewhat less controversial but is also generating a lot of interest is the management of adolescent idiopathic scoliosis.