looking for advice: S shaped Thoracolumbar curve

[redmond_dude]

Hi

I have a S shaped thoracolumbar curve. The upper thoracic curve is 37degrees (T1-T5) convex to the left. Lower Thoracic curve is 55degrees (T6-T12) convex to the right and lumbar curve 28degrees (L1-L3) convex to the left.

Ive seen two surgeons, both relatively well known and gotten somewhat conflicting opinions. One would rather wait and watch and isnt convinced that I need surgery.

The other thinks I need it. Any one been in a similar situation or a similar medical condition.

About 5 years ago my central curve t6-t12 measured about 48 degrees - dont have numbers for the other curves. I am now 30 years old

thanks

[LindaRacine]

Hi...

You could always see a third surgeon and break the tie. :-)

If you're certain that the large curve has progressed 7 degrees in 5 years, that's a good indication that it will continue progressing, which makes it more likely that you'll eventually need surgery. I always tell people that if they're reasonably certain that they'll eventually need surgery, it's much better to have it sooner.

Best of luck with your decision.

Regards,
Linda

[redmond_dude]

a bit more information

Thanks - i'll start looking . btw do you have any recommendations for docs or hospitals in the Puget Sound Area.

Some more information.

Both docs commented that I seem fairly balanced in the sagital and coronal planes.

I dont feel much pain thats directly related to scoliosis. I do have my share of back pain , but I suspect thats only slightly more than the average office worker

From 94 - 99 I was wore a Boston brace and during that period my curve moved up about a degree from 45 to 46.

Question: Is there a thumb rule regarding the point at which an adult of my age should consider surgery.

[LindaRacine]

Thanks - i'll start looking . btw do you have any recommendations for docs or hospitals in the Puget Sound Area.

Some more information.

Both docs commented that I seem fairly balanced in the sagital and coronal planes.

I dont feel much pain thats directly related to scoliosis. I do have my share of back pain , but I suspect thats only slightly more than the average office worker

From 94 - 99 I was wore a Boston brace and during that period my curve moved up about a degree from 45 to 46.

Question: Is there a thumb rule regarding the point at which an adult of my age should consider surgery.

Sorry, I don't know anything about any of the specialists in Washington.

As to at what degree an adult should consider surgery, it varies by specialist. The most common number I hear is 50 degrees, with either a documented history of progression or pain.

--Linda

[Alleycat]

Hey mine was similar to yours when i was first diagnosed. 23/52/32, they said surgery immediatly for me. Mostly because I was 13, still in puberty, and they turned out to be right. Two months later when I went into surgery, the curves had progressed at least ten degrees each i think it was 29/61/37, i'm not one hundred percent sure, but i know it was a huge shock for everyone. Since for some reason it was barely noticeable just looking at me. Progression is the key to unlocking your dilemma. sorry to be of no help. but i had the surgery and i honestly think i can say that i dont regret it. -ali