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Adult Scoliosis

Adult scoliosis relates to anyone that has scoliosis and is eighteen or older. Adult scoliosis is different from children scoliosis cases in that adults are skeletally mature and may have different treatment options. Scoliosis in adults is usually accompanied with back pain and that is why they choose to get themselves evaluated. Treatment difficulties for the spine surgeon may exist since adult scoliosis can cause the spine to become stiff. In many cases, advanced disc degeneration that can create severe pain is accompanied with the scoliosis. Many patients with adult scoliosis may experience osteoporosis, which can play a contributing factor. All of these factors add into the equation of what treatment is right for the patient.

Degenerative scoliosis is one of the most common types of scoliosis for older adults and may progress. This type of scoliosis is usually associated with stenosis and leg pain. Most treatment for adult scoliosis is non-operative. Conservative treatment options may include physical therapy or injection therapy.

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A spine specialist will put together an individualized treatment program consisting of exercise and conditioning to help the patient increase function and energy, while trying to reduce the source of pain. Steroid injections may also be used to help control pain. Bracing is rarely used in adults nor does it provide pain relief.

Surgery is used only after non-surgical options are tried. And an emphasis is usually put on less invasive or minimally invasive surgeries unless scoliosis is severe, or global kyphosis (flatback) exists. Surgery is recommended for curvatures that have gradually worsen or previous treatment options have all been exhausted and the pain still persists. It is not uncommon in adult scoliosis cases when discs are severely degenerated, which require the spinal fusion to be extended down to the sacrum. This situation may require the surgeon to perform the surgery on both your back and front side.

The length of the recovery is dependent of how extensive the surgery was and the age of the patient. Some patients will be back to full activity in three months, and some patients may need as long as six to nine months to properly heal. Many patients become thrilled and happy knowing the pain they suffered with is no longer going to bother them.

About Adults with Previous Operated Scoliosis

Often older techniques such as anterior surgery for lumbar scoliosis, Harrington rods, or Cotrel-Dubousset instrumentation may have long fusions with minimal correction or they were fused in some kyphosis.

With time and aging, these individuals may develop progressive disc degeneration resulting in a stooping or flatback syndrome, or back and leg pain from degeneration. Other causes of back pain in a previously operated patient include junctional deformities or non-unions with broken rods.

Surgery in a specialty scoliosis center, such as Texas Spine and Scoliosis in Austin, with fellowship-trained surgeon Dr. Matthew Geck, whose practice focuses on spinal deformities is important for successful return to activity for patients.

 

Physicians
  • Matthew J. Geck, MD
    • Matthew J. Geck MD is a board certified, fellowship trained orthopedic surgeon who has a practice focused exclusively on spine and scoliosis surgery.
  • John K. Stokes, MD
    • Dr. Stokes is a board-certified neurosurgeon, fellowship-trained in spinal surgery with a practice entirely focused on spinal surgery.
  • Eeric Truumees, MD
    • Dr. Eeric Truumees is a board-certified orthopedic surgeon at Texas Spine and Scoliosis in Austin, Texas. He specializes in cervical, thoracic and lumbar spine disorders
  • Eric Mayer, MD
    • Dr. Mayer is board-certified in Physical Medicine and Rehabilitation who specializes in nonsurgical treatment of back pain and neck pain.
  • Lee E. Moroz, MD
    • Dr. Moroz is board-certified in Physical Medicine and Rehabilitation who specializes in helping patients return to activity without having to resort to surgery.
  • Enrique B. Pena, MD
    • Dr. Pena is board-certified in Physical Medicine and Rehabilitation who specializes in the non-surgical treatment of patients with back and neck problems.
What do Your Symptoms Indicate?
  • Red Flag Symptoms
    • Many back problems can improve on their own or with non-surgical treatment. They key is to understand which symptoms are emergencies and need to be seen immediately.
Brochures & Journals
  • Back to Life Journal
    • Subscribe to our Back to Life Journal to read information on the latest advances on back and neck pain treatment.
Home Remedy Book
  • Home Remedy Book
    • Have back or neck pain? Learn what causes symptoms and the home remedies that relieve pain. Texas Spine and Scoliosis mails out Home Remedy Books to residents throughout the Austin area.

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