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12: Lumbar Scoliosis with Pelvic Obliquity

Summary: Case History The patient is a 40-year-old female who was diagnosed with idiopathic scoliosis at age 20. She reportedly had undergone normal growth and development and was in good health. She had never experienced pain in her spine during her adolescent years. Management strategies included: appropriate diagnosis, clinical correlation and lumbar MRI; orthotic bracing of the involved motor units; chiropractic adjustments directed to specific joints; chiropractic rehabilitation to address altered patterns of muscle recruitment. An MRI of the lumbosacral spine revealed moderate neural foraminal narrowing on the left at L4-5 and L5-S1. The contralateral region displayed similar findings, but to a lesser extent, secondary to disc protrusions. Moderate spinal stenosis at L4-5 with discogenic edema and disc desiccation consistent with degenerative disc disease was discovered. This 40-year-old patient is at the end of her growth and the curvature is unlikely to progress. Her curvature, most likely compensatory in response to her stenosis, disc protrusions and antalgic bearing, cannot be improved by a scoliosis brace, but does require chiropractic correction. Full Article: Chiroweb