Adult degenerative scoliosis: Evaluation and management

Fernando E. Silva, Lawrence G. Lenke

Research output: Contribution to journalArticlepeer-review

276 Scopus citations


Degenerative scoliosis is a prevalent issue among the aging population. Controversy remains over the role of surgical intervention in patients with this disease. The authors discuss a suitable approach to help guide surgical treatment, including decompression, instrumented posterior spinal fusion, anterior spinal fusion, and osteotomy. These treatment options are based on clinical analysis, radiographic analysis of the mechanical stability of the deformity, given pain generators, and necessary sagittal balance. The high potential complication rates appear to be outweighed by the eventual successful clinical outcomes in patients suitable for operative intervention. This approach has had favorable outcomes and could help resolve the controversy.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalNeurosurgical focus
Issue number3
StatePublished - Mar 2010


  • Decompression fusion
  • Degenerative scoliosis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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