Scoliosis Research Society (SRS)
An International Organization Dedicated to the Education, Research and Treatment of Spinal Deformity
Our Mission is to Foster Optimal Care for All Patients with Spinal Deformities
Some patients may have had brace treatment during adolescence while others may have never sought treatment during their teenage years. This can occur in the thoracic (upper) and lumbar (lower) spine and has the same basic appearance as that seen in teenagers. Physical findings may include shoulder asymmetry, a rib hump or a prominence of the lower back on the side of the curvature. These curves can get worse in the older patient due to degeneration of the discs which results in settling of the vertebrae (spinal segments). Settling of the discs may also cause patients to lean progressively forward, leading to sagittal imbalance. Additionally, arthritis sets in the joints of the spine (facets) that leads to the formation of bone spurs. This can result in pain and stiffness of the back. In more severe cases, patients may also develop shooting pain and numbness down the legs due to pinched nerves.