Adolescent and Adult Spinal Deformity: Operative Management
This chapter presents the case scenarios of a 16-year-old girl previously diagnosed and braced for adolescent idiopathic scoliosis (AIS) presents with chronic radiating midback pain, and a 57-year-old male who presents with progressive spinal deformity (ASD). Operative management of scoliosis patients begins with clinical and radiographic deformity assessment. Classification systems for AIS and ASD have been developed to reduce treatment inconsistency, guide decision-making, and improve outcomes. Recent technological advances have increased utilization of minimally invasive surgical (MIS) techniques for both AIS and ASD patients. Profound morbidity associated with operative intervention, specifically in elderly ASD patients, and technological advances have driven the development of MIS techniques. Operative intervention is an effective treatment for skeletally mature AIS patients at risk for curvature progression. The chapter provides recommendations for implementing evidence-based practice in the clinical setting.
