Seminars in Spine Surgery
Volume 21, Issue 1 , Pages 16-23, March 2009

Idiopathic Scoliosis in Adults: Classification, Indications, and Treatment Options

  • Nader M. Hebela, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, and Penn Presbyterian Medical Center, Philadelphia, PA
    • Corresponding Author InformationAddress reprint requests to Nader M. Hebela, MD, Penn Presbyterian Medical Center, 1 Cupp Pavilion, 51 N. 39th Street, Philadelphia, PA 19104
  • ,
  • P. Justin Tortolani, MD

      Affiliations

    • Johns Hopkins Medical Institutions, Scoliosis and Spine Center of Maryland, and Towson Orthopaedic Associates, Towson, MD

published online 27 January 2009.

Idiopathic scoliosis that is present in childhood or adolescence and progresses into adulthood to become symptomatic represents a challenge for surgeons considering correction of the deformity to help patients with pain relief and improved function. Classifications of adult idiopathic scoliosis have helped to differentiate deformity types into categories that can be compared and analyzed both radiographically and clinically. Treatment and outcome measures are being refined to help determine the appropriate surgical management based on these radiographic and clinical parameters. Although further research is needed, the ultimate goal is to provide validated evaluation and management guidelines.

Keywords: scoliosis, deformity, degenerative, idiopathic, curve

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PII: S1040-7383(08)00091-9

doi:10.1053/j.semss.2008.11.003

Seminars in Spine Surgery
Volume 21, Issue 1 , Pages 16-23, March 2009