Adult degenerative scoliosis

Joshua Ellwitz, Munish Gupta

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Adult degenerative scoliosis is an increasingly common problem with our aging population. Historically, this condition was thought of as a lateral deviation of the spine in the coronal plane. Recent evaluation of the pathologic process, biomechanics, and spinal anatomy has demonstrated that rotation in the axial plane and the loss of lordosis in the sagittal plane are important components of the deformity. Therefore, evaluation and treatment must address all three planes of deformity. There is a tendency for degenerative scoliosis to occur more frequently with advanced age. This poses additional challenges for the patient as well as the treating physician. In addition to their spinal deformity, this patient population has a higher prevalence of cardiopulmonary and other medical comorbidities that must be evaluated and addressed before considering strenuous activity or surgical intervention. Bone density strength also becomes a concern when considering spinal instrumentation as the bone implant interface is the weakest link.

Original languageEnglish (US)
Title of host publicationSpine Surgery Basics
PublisherSpringer Berlin Heidelberg
Pages247-258
Number of pages12
ISBN (Electronic)9783642341267
ISBN (Print)9783642341250
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Ellwitz, J., & Gupta, M. (2014). Adult degenerative scoliosis. In Spine Surgery Basics (pp. 247-258). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-34126-7_20