A Review of Adult Idiopathic and Degenerative Scoliosis

Fatima Sheikh

Abstract


Adult scoliosis can be classified into two groups, either degenerative scoliosis or idiopathic scoliosis. These two types of scoliosis vary in patient age, progression, and physical presentation. In adult idiopathic scoliosis, spurs form as a result of the onset of arthritis in the joints of the spine, resulting in back pain and in many cases deformity. On the other hand, in adult degenerative scoliosis, the degeneration of discs can lead to numbness and shooting pains that radiate down the leg. It is for this reason that surgical methods must be carefully weighed and considered to account for the major symptoms to prevent postoperative complications. With improvements in surgical treatments, more attention should be paid to improving the patient’s quality of life as a part of the follow up procedures. Ultimately, once a diagnosis has been reached, based on the symptoms and any other illnesses, all aspects of the treatment should be considered in order to prevent postoperative complications, to relieve symptoms and to improve overall quality of life. A variety of papers and studies were thoroughly reviewed and studied before writing this review paper, including “Evaluation of quality of life and risk factors affecting quality go life in adolescent idiopathic scoliosis” and “Surgical Treatment of Adult Degenerative Scoliosis”.

La scoliose — plus spécifiquement la scoliose adulte — peut être classée en deux catégories, soit la scoliose adulte dégénérative ou la scoliose adulte idiopathique. Ces deux types de scoliose varient en fonction de l'âge du patient, la progression, et la représentation physique. Dans la scoliose adulte idiopathique, la formation d’éperons survient à cause de l’arthrite dans les articulations de la colonne vertébrale ce qui entraîne des douleurs au dos et dans de nombreux cas, une difformité. D'autre part, dans la scoliose adulte dégénérative, la dégénérescence des disques peut engendrer un engourdissement et des douleurs fulgurantes qui irradient jusqu’au bas de la jambe. C’est pour cela que les méthodes chirurgicales doivent être mûrement réfléchies et dûment évaluées pour tenir compte des principaux symptômes afin de prévenir les complications postopératoires. Avec le progrès des traitements chirurgicaux, plus d'attention devrait être accordée à l'amélioration de la qualité de vie du patient dans les procédures de suivi. En fin de compte, une fois que le diagnostic a été déterminé,  les symptômes et tout autres maladies, ainsi que tous les aspects du traitement doivent être envisagés afin de prévenir les complications postopératoires, soulager les symptômes et améliorer la qualité de vie globale.


Keywords


scoliosis; aging; arthritis;

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References


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DOI: https://doi.org/10.13034/jsst.v8i2.74

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