Degenerative scoliosis is a condition characterized by a sideways curvature of the spine measuring 10 degrees or greater. This curvature develops in adults due to spinal degeneration, commonly known as spondylosis. The lumbar region, encompassing vertebrae L1-L5, consists of larger vertebrae to manage the stress of lifting and carrying heavy objects. Injuries in this region can lead to functional loss in the hips, legs, and bladder control. The sacral region, with vertebrae S1-S5, includes a sizable bone at the spine’s base.
Lumbar spondylosis signifies the age-related degeneration of the lower back’s vertebrae and discs, often referred to as degenerative disk disease and osteoarthritis. This prevalent condition results from the deterioration of one or more spinal discs. Degenerative disc disease may induce pain, weakness, or numbness, with symptoms varying based on the disc degeneration’s location and nature. Common symptoms include sharp and/or chronic pain in the back and neck, and the body may develop bone spurs as a response to disc changes.
While scoliosis most often occurs in children and teenagers, adults can also be diagnosed with it, whether due to the progression of a pre-existing curve or as a new condition stemming from degenerative changes in the spine or osteoporosis.
The onset of lumbar disc disease typically begins with disc material degeneration, leading to vertebral body height reduction and increased stress on the weakened disc material, which can eventually cause the disc to bulge outward into the spinal canal.
Multilevel degenerative changes are mainly characterized by disc height loss, endplate osteophytes, and facet arthropathy, particularly pronounced at L1-L2 and L4-L5. Degenerated facet joints can be identified by subchondral sclerosis, osteophyte formation, and joint space narrowing.
Degenerative spine conditions exhibit a broad spectrum of symptoms. Some may present no symptoms, while others may cause back or neck pain. Additional symptoms vary depending on the specific location and issue. Many degenerative conditions can be managed without surgery, though some may necessitate it.
For more comprehensive information, please refer to the detailed resources provided by reputable medical institutions such as Hospital for Special Surgery, University of Texas Health Science Center, and Columbia Neurosurgery, among others.
