ABSTRACT

Adult scoliosis deformity afflicts a significant portion of the elderly and is increasing in prevalence. Back pain and deformity are major indications for surgery in adult scoliosis. Understanding the pathoanatomy and behavior of this disease would change the patient outcome. When selecting a treatment method, major symptoms and underlying medical disease should be carefully evaluated, not only to relieve symptoms but also to minimize complications. True decision of the surgical option and fusion levels that varies to patient needs evidence based approach. And this will decrease the unexpected results.