Adult Scoliosis: Therapeutic Approach and spinal pain management
Advancing adult scoliosis may lead in deterioration of patients’ overall health and progressive disability. It can be a quite complex disorder to manage; however, nowadays there are several conservative and surgical therapeutic approaches. The aim of this study was to review the current literature concerning the therapeutic management of patients with adult scoliosis and the management of spinal pain that the majority of these patients experience. The review of the current literature was carried out by using the online PubMed database and the following keywords: (“adult” [MeSH Terms] AND (“scoliosis” [MeSH Terms] AND (“pain” [MeSH Terms] AND (“conservative treatment” [MeSH Terms] AND (“spinal fusion” [MeSH Terms]. The primary search recovered 3.941 publications. In the initial screening of abstracts and titles, 3,902 articles were excluded because of either irrelevant titles or not matching content. From the remaining 39 studies, in which the full text was assessed, 12 were rejected due to particular reasons. Finally, 27 studies were included in this review. In conclusion, a variety of therapeutic approaches for adult scoliosis exist. The type of treatment depends on various factors and has to be personalized. The prevailing aspect is that patients with moderate scoliosis should seek conservative treatment first, as long as there isn’t any serious deterioration in their symptoms and quality of life. Conservative management should be exhausted before any decision for surgery is taken.
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