Adult Spinal Deformity

Some of the spinal deformities that start earlier in life and are untreated can become problematic later in adult life. Sometimes advanced degenerative changes can present as a deformity. Inability to stand upright the commonest problem reported.

Whilst most of these need investigations such as MRI scan to determine the likely source of pain and nerve compressions. Simpler treatments such as physiotherapy, pain management and injections are the start of the treatment. Some patients have very intrusive symptoms. These may require a major surgical reconstruction. The pros and cons of such a reconstruction have to be carefully considered and discussed.

Surgery is undertaken for nerve compression, difficulty in maintaining and upright stance and problems maintaining a horizontal gaze. Pre-operative considerations include bone density assessments (DEXA scan); CT scans; upright xrays and a thorough anaesthetic assessment.