Abstract
Background The treatment of adults with pain from scoliosis is a complex and difficult task. The variety of structural pathologies with an adult de-novo degenerative conditions, include stenosis, joint subluxation,and disc degeneration. Mechanical pain is often associated with mal-alignment and deviations from the physiological neutral spine posture/ structure. The Side Shift approach has been used at the RNOH to treat Adolescent Scoliosis and Adults in pain. In order to optimize the management of adult scoliosis a decision making pathway was developed. The purpose of the pathway was to inform the clinicians, guide the management and protect the adult patients .Ultimately it was hoped that it would improve patient outcomes.
Highlights
The treatment of adults with pain from scoliosis is a complex and difficult task
Initially a Brain storming session was used to develop the key pathways to assessment and treatment
The pathways was taught to the Hospital department and integrated to the Care pathway file for the treatment of scoliosis
Summary
The treatment of adults with pain from scoliosis is a complex and difficult task. The variety of structural pathologies with an adult de-novo degenerative conditions, include stenosis, joint subluxation,and disc degeneration. Aim To develop and pilot a decision making pathway which would be robust, measurable, easy to follow and effective.
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