Surgical Management of Degenerative Scoliosis

The operative goal in the treatment of spinal deformity in the adult is to achieve and maintain coronal and sagittal balance, prevent progression of degeneration and deformity, and decompress areas of symptomatic neural element compression. When caring for a patient with degenerative scoliosis, there is a wide range of possible treatments. Each option offers distinct advantages and disadvantages. Options vary from nonsurgical to surgical treatment. The surgical approach depends on the balance between potential morbidity and the mechanical needs for correction and corrective maintenance. One must also consider the patient's general physical condition. Advanced degenerative disease, medical comorbidities, and osteoporosis are all factors that impact surgical decision-making.