Adult degenerative scoliosis: a review

Neurosurgery. 2008 Sep;63(3 Suppl):94-103. doi: 10.1227/01.NEU.0000325485.49323.B2.


Objective: To review and define principles and features of treatment for adult degenerative scoliosis, the most common cause of adult spinal deformities.

Study design: We conducted a comprehensive review of the literature and our clinical experience.

Methods: A systematic review of Medline was conducted, including journal articles published in March 2007 and before. We searched for articles related to adult spinal deformities (scoliosis) and treatments.

Conclusion: Degenerative scoliosis is a complex disorder. The primary surgical aims are to decompress the neural elements, normalize both sagittal balance and coronal and rotational deformity, fixate to the sacrum/ilium when appropriate, and optimize conditions for osteogenesis and fusion.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Age Factors
  • Humans
  • Radiography
  • Scoliosis / diagnostic imaging*
  • Scoliosis / therapy*
  • Spinal Fusion / trends