New Jersey Adult Degenerative Scoliosis

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Adult Degenerative Scoliosis Care in New Jersey

Adult scoliosis generally describes an irregular curvature of the spine diagnosed in individuals over 18. Some cases stem from a childhood curvature that was never fully treated, while others appear for the first time in adulthood as “adult degenerative scoliosis.” Common contributing factors include osteoporosis and age-related spinal wear, which can lead to changes in bone density and disc integrity. We welcome you to schedule a consultation at our Englewood location to discuss treatment possibilities tailored to your specific needs.

How Adult Scoliosis Differs from Adolescent Cases

Unlike scoliosis in younger patients—where the condition often progresses silently—adult scoliosis frequently causes back pain and other noticeable symptoms. Over time, degenerative changes can make the curvature more severe and less flexible, introducing complications like pinched nerves and advanced disc disease. For many adults, these structural issues in the spine significantly impact mobility and quality of life.

A 71 year old female was diagnosed with degenerative scoliosis. Treated with minimally-invasive scoliosis correction.

A 71 year old female was diagnosed with degenerative scoliosis. Treated with minimally-invasive scoliosis correction.

Symptoms

Ongoing lower back pain and postural shifts often serve as early indicators of adult degenerative scoliosis. While the root cause of discomfort often lies in the underlying spinal degeneration, the uneven spinal curve can worsen the issue. Individuals may notice:

A tilted posture, making them appear off-balance
One side of the rib cage being more prominent
Apparent leg-length differences
Difficulties sitting or standing for extended periods
Changes in walking gait or overall balance
Potential cardiovascular or respiratory concerns in advanced cases

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Causes

Several factors can increase the likelihood of adult degenerative scoliosis, including:

Family history of spinal curvature
Progressive conditions like degenerative disc disease
Osteoporosis or osteopenia
Spinal arthritis and wear in aging joints

Non-Operative Treatment

Most adults with mild or moderate scoliosis can explore conservative therapies before considering surgery. Exercise routines or structured physical therapy often promote spinal strength and flexibility. Non-steroidal anti-inflammatory drugs or pain management injections, such as epidural steroids, may help alleviate leg and back pain. Although braces are less common in adults, they might be an option for older patients who are not suited for surgery. Maintaining adequate calcium and vitamin D intake can also support bone health, especially for those with bone density concerns.

Operative Treatment

For curves that continue to progress or fail to respond to conservative methods, surgical care may be considered. Severe deformities, or scoliosis that causes significant pain or functional issues, can sometimes be realigned and stabilized through a range of surgical techniques. Dr. Stieber may recommend advanced instrumentation or minimally invasive options when appropriate, aiming to enhance correction while reducing recovery time. Healing periods vary considerably, often depending on the severity of the curve and the patient's overall health. Some individuals resume everyday activities within a few months, while others benefit from a more extended rehabilitation. Many find that surgical intervention can restore a more balanced spine and improve overall quality of life. We invite you to contact our Englewood office today for more information and to arrange a personalized evaluation.

Disclaimer: Every patient's situation is different, and results may vary. This content is not intended to replace professional medical advice.

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