Function and Clinical Symptoms are the Main Factors that Motivate Thoracolumbar Adult Scoliosis Patients to Pursue Surgery

STUDY DESIGN.A retrospective two-cohort comparative analysis of data collected prospectively in an adult deformity multicenter database. OBJECTIVE.The aim of this study was to define the radiographic and clinical parameters that motivate adult thoracolumbar (TL) scoliosis patients to undergo surgery. SUMMARY OF BACKGROUND DATA.TL curves are a primary concern in adulthood, and it is necessary to establish why patients are motivated to seek surgical intervention. METHODS.Patients with only main TL/lumbar (TL/L) idiopathic curves were included, defined as Schwab type L curves and Schwab type D curves in which thoracic curves were