Condition/Condition Details

Adult Degenerative Scoliosis

Q: What causes adult degenerative scoliosis to worsen?

Adult degenerative scoliosis worsens due to the asymmetric collapse of spinal discs and facet joints caused by aging. As one side of a disc wears down faster than the other, the spine curves further, often leading to spinal stenosis and nerve compression.

Q: What are the first symptoms of degenerative scoliosis?

Symptoms typically begin with gradual lower back pain and stiffness in the morning. As the curve progresses, patients may notice uneven shoulders, a rib hump, or shooting leg pain ( sciatica ) caused by the narrowing of the spinal canal.

Q: How long is the recovery for adult scoliosis surgery?

Recovery is significant, typically requiring 3 to 6 months for fusion to solidify . Patients usually walk the day after surgery but must limit bending and twisting for several months to ensure the spine heals correctly.

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What is Adult Degenerative Scoliosis?

This condition can lead to chronic back pain, nerve compression, and difficulty with daily activities as the spine loses its natural alignment. At Mountain Spine & Orthopedics, our team uses precise diagnostics to measure the curvature and create a personalized treatment plan aimed at restoring balance and reducing discomfort.

Common Symptoms of Adult Degenerative Scoliosis

Symptoms of adult degenerative scoliosis often develop gradually and may include:

Chronic lower back pain and stiffness
Visibly uneven shoulders or hips
A noticeable sideways spinal curve
Radiating pain, numbness, or weakness in the legs
Difficulty standing straight or walking long distances

Illustration of adult degenerative scoliosis affecting the spine

Causes and Risk Factors of Adult Degenerative Scoliosis

The primary cause is the natural aging process and the resulting degeneration of spinal structures. Risk factors include a history of degenerative disc disease, osteoporosis, and previous spinal injuries. Smoking and a sedentary lifestyle can also accelerate these changes.

Non-Surgical Treatment Options for Adult Degenerative Scoliosis

We prioritize conservative treatments to manage symptoms and improve quality of life.

Targeted physical therapy and core strengthening
Low-impact exercise programs
Anti-inflammatory medications
Epidural steroid injections for nerve relief
Supportive bracing for spinal stability

Minimally Invasive Correction for Adult Degenerative Scoliosis

When conservative care is not enough to relieve symptoms, our surgeons may suggest minimally invasive surgery to correct the deformity and stabilize the spine.

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Related Treatments & Conditions

View all spine conditions and treatments Lower Back Pain Degenerative Disc Disease Free MRI Review Free Second Opinion Epidural Steroid Injections Revision Spinal Surgery Multilevel Degenerative Disc Disease Surgery Anterior Lumbar Corpectomy and Fusion Anterior Lumbar Interbody Fusion (ALIF)

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Locations Offering Evaluation

Our board-certified specialists offer adult degenerative scoliosis evaluation and treatment at locations across Florida, New Jersey, New York, and Pennsylvania. Schedule a consultation at a clinic near you.

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Frequently Asked Questions

What causes adult degenerative scoliosis to worsen?

Adult degenerative scoliosis worsens due to the asymmetric collapse of spinal discs and facet joints caused by aging. As one side of a disc wears down faster than the other, the spine curves further, often leading to spinal stenosis and nerve compression.

Can adult scoliosis be treated without surgery?

Yes, the majority of adult scoliosis cases are managed non-surgically. Treatments include core strengthening exercises, bracing, and epidural steroid injections to manage pain. Surgery is typically reserved for curves exceeding 50 degrees or when nerve compression causes leg weakness.

What are the first symptoms of degenerative scoliosis?

Symptoms typically begin with gradual lower back pain and stiffness in the morning. As the curve progresses, patients may notice uneven shoulders, a rib hump, or shooting leg pain (sciatica) caused by the narrowing of the spinal canal.

Is spinal fusion the only option for scoliosis surgery?

While spinal fusion is the most common method to permanently straighten the spine, decompression surgery (laminectomy) alone may be performed if the primary symptom is leg pain and the spinal curve is stable.

How long is the recovery for adult scoliosis surgery?

Recovery is significant, typically requiring 3 to 6 months for fusion to solidify. Patients usually walk the day after surgery but must limit bending and twisting for several months to ensure the spine heals correctly.

Dr. Scott Katzman

Orthopedic Spine Surgeon

Dr. Scott Katzman is an internationally recognized, board-certified orthopedic surgeon who specializes in comprehensive spine care with a focus on patient outcomes and recovery. A leader in the field since 1996, he provides expert orthopedic care and actively educates fellow surgeons on advanced techniques worldwide.

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Dr. Monica McPhail-Pruitt

Pain Management

Dr. Monica McPhail-Pruitt is a highly respected anesthesiologist, dually board-certified in both anesthesiology and pain medicine, who specializes in developing expert perioperative pain strategies. Her compassionate, patient-centered approach ensures individuals are fully supported through the healing process, helping them achieve smoother recoveries and an improved quality of life.

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