Adult Scoliosis: Treatment and Recovery

Spine Surgery
Most patients with adult scoliosis do not require surgery. Surgery may be considered if any of the following exist:

1. Thoracic (mid-back) curve greater than 50 degrees with persistent pain

2. Progressive thoracolumbar (mid and low back) curve

3. Lumbar (low back) curve with persistent pain

4. Decreased cardiopulmonary (heart and lung) function due to thoracic curve

5. Appearance, deformity

Pain control is the usual reason for surgery for scoliosis in adults. The spinal surgeon decides the procedure(s) that will provide the most benefit to the patient. Surgical intervention may include the removal of an intervertebral disc (e.g. discectomy) combined with spinal instrumentation and fusion. Spinal instrumentation utilizes rods, bars, wires, screws, and other types of medically designed hardware. Combined with fusion, instrumentation stabilizes spinal segments, enhances fusion, and provides a more permanent solution. These procedures may enable the patient to sit upright thereby reducing the risk for cardiopulmonary complication and may increase mobility. This type of surgery can be performed safely on adults with spinal deformity, usually with excellent results.

Recovery
Whether the treatment course is conservative or surgical, physical therapy may be incorporated to build muscle strength, increase range of motion and flexibility. It is important to closely follow the instructions given by the physician and/or physical therapist.

Any doubts concerning vocational and recreational restrictions should be discussed with your physician and/or physical therapist. They will be able to suggest safe alternatives.