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

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.