ADULT DEGENERATIVE SCOLIOSIS

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Abstract
To review and define principles and features of treatment for adult degenerative scoliosis, the most common cause of adult spinal deformities. We conducted a comprehensive review of the literature and our clinical experience. A systematic review of Medline was conducted, including journal articles published in March 2007 and before. We searched for articles related to adult spinal deformities (scoliosis) and treatments. Degenerative scoliosis is a complex disorder. The primary surgical aims are to decompress the neural elements, normalize both sagittal balance and coronal and rotational deformity, fixate to the sacrum/ilium when appropriate, and optimize conditions for osteogenesis and fusion.