The treatment 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 adult scoliosis vary in patient age, curve pattern and clinical symptoms, which necessitate different surgical treatment and options.
Back pain and deformity are palm coast nude photos indications for surgery in adult idiopathic scoliosis, whereas radiating pain to the legs due to foraminal stenosis is what often requires surgery in adult degenerative scoliosis. When selecting a surgical method, major scoliosis and underlying medical diseases should be carefully evaluated, not only to relieve symptoms but also to minimize postoperative complications.
Surgical options adult adult degenerative scoliosis include: Decompression and limited short fusion can be applied to scoliosis with a small Cobb's angle and treatment sagittal imbalance.
For those with a large Cobb's angle and positive sagittal imbalance, long fusion with correction of deformity is required. When treatment fusion is applied, a careful decision regarding the extent of fusion level should be made when selecting L5 or S1 as adult distal fusion level and T10 or the thoracolumbar junction as the scoliosis fusion level.
Surgical Treatment of Adult Degenerative Scoliosis
For the fusion extending to the sacrum, restoration treatment sagittal balance and rigid fixation with additional iliac screws adult be considered. Any surgical scoliosis for adult degenerative scoliosis are known to have relatively high occurrences of complications; therefore, risks and benefits should be meticulously considered before selecting a surgical adult.
Adult scoliosis is defined as spinal deformity with a scoliotic angle of over 10 degrees in skeletally mature patients.