What Causes Degenerative Scoliosis and How Can It Be Treated?

Scoliosis, derived from the Greek word “skoliosis” meaning “bending” or “crooked”, is a spinal condition characterized by a side-to-side curvature of the spine. When observed from behind, a normal spine appears straight, but a spine affected by scoliosis will often have an “S” or “C” shape, making it seem as though the person is leaning to one side. This condition can affect people of all age groups, from children and adolescents to adults.

Among the types of scoliosis, the most prevalent in adults is degenerative scoliosis. This particular type arises from the wear and tear on the spinal discs and joints. It is especially common in the lumbar, or lower, region of the spine. Contrary to the common belief that scoliosis begins only in childhood, degenerative scoliosis surfaces in fully grown adults due to spinal degeneration, primarily osteoarthritis of the spine, or spondylosis.

Diagnosis is determined when the spinal curve surpasses 10 degrees. Nevertheless, adults usually present more advanced stages, with the curve often exceeding 30 degrees by the time they seek medical attention. Alongside this assessment, physicians may examine patients for spinal stenosis, a condition where the spinal canal narrows or compresses.

Several treatments have been developed for scoliosis. For some, physical therapy may provide relief. However, in more extreme cases, surgical intervention might be necessary. Surgeries such as the Anterior Lumbar Interbody Fusion (ALIF), Posterior Lumbar Interbody Fusion (PLIF), and the Transforaminal Lumbar Interbody Fusion (TLIF) are available options.

Remarkably, Dr. Winell’s research at CHOP introduced two significant advances, which when combined, could halt the progression of scoliosis before it necessitates surgery. A noteworthy breakthrough is a novel type of brace conceptualized by a Spanish physician.

To further understand this spinal deformity and learn about available treatments, more resources are accessible. It’s crucial to stay informed and consult medical professionals for guidance.