Dr.Öğr.Üyesi Gökhan GÖKÇE – Beyin, Sinir ve Omurga Cerrahisi Uzmanı

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Adult scoliosis is a condition caused by age-related degenerative changes in the spine and usually occurs as a result of the ageing process. This type of scoliosis is associated with factors such as the resorption of bones in the spine, weakening of ligaments, muscle weakness and degeneration of intervertebral discs. It is also known that factors such as osteoporosis contribute to the progression of adult scoliosis.

Some of the main features of adult scoliosis and treatment approaches may be as follows:

– Diagnosis The diagnosis of adult scoliosis is based on the patient’s history, physical examination and radiological imaging. X-ray images help to assess the curvature of the spine and the type of deformity. Imaging modalities such as Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) can be used to examine the condition of the spinal cord and soft tissues.

– Symptoms Adult scoliosis can cause symptoms such as back and lower back pain, poor posture, a feeling of imbalance and, rarely, weakness in the legs. These symptoms may vary depending on the age of the patient, the severity of the deformity and other factors.

– Treatment Treatment of adult scoliosis depends on the patient’s symptoms, age, severity of the deformity and other factors. Treatment options include conservative treatment and surgical treatment.

– Conservative Treatment:* This treatment option focuses on alleviating the symptoms and improving the quality of life of patients. Conservative treatment methods may include physical therapy, exercise programmes, pain management, posture training and bracing. Conservative treatment can be especially effective in patients with mild to moderate curvature.

– Surgical Treatment:* Surgical intervention is considered in patients with progressive curvature, severe symptoms or in patients who do not respond to conservative treatment. Surgical treatment aims to straighten the spine, correct the deformity and stabilise it. Such surgical interventions are usually performed to correct deformities that narrow the spinal canal.

Although adult scoliosis is common in elderly individuals, treatment options and approaches may vary depending on the patient’s condition. Treatment should be tailored to alleviate symptoms, improve quality of life and prevent progression of the deformity. Treatment options should be evaluated by a multidisciplinary healthcare team according to the patient’s specific condition.

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