Adult degenerative scoliosis is a condition where a right-left or lateral curve develops in a previously straight spine, secondary to advanced degenerative disc disease. This curvature occurs as a result of deterioration (or degeneration) of the discs and joints in the back of the spine. As the joints degenerate they create a misalignment in the back, resulting in a bend or curvature. This misalignment of the spine can cause back and/or leg pain, due to muscle fatigue and nerve impingement and may lead to a condition known as lumbar (lower back) stenosis. Adult degenerative scoliosis is more common in the lower back and most frequently occurs in people over 65 years of age.
Symptoms
- Pain in the back and/or legs
- Spinal deformity
- Pain may occur on one or both sides
- Pain worsens when standing or walking
- Lying down relieves pressure on the spine and reduces pain
- Uneven shoulders or waist
- Shoulder blade protrusion
Diagnosing Adult Degenerative Scoliosis
Your doctor will perform a physical examination to identify areas of pain and weakness and will evaluate your balance and the overall movement of your spine. Your doctor will also collect information about the history of your symptoms, including medicine you have taken for your condition. After your examination, your doctor may use tests to help establish the diagnosis. Some of these tests include x-ray, CT (computed tomography) scan, and MRI (magnetic resonance imaging). Together, these tests help to confirm a diagnosis of adult degenerative scoliosis.
As with any medical condition, individual experiences will vary from patient to patient. Since this information is intended for informational purposes only, it is important that it doesn’t replace the relationship you have with your healthcare provider. Be sure to consult your healthcare professional for diagnosis and treatment.
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