At Atlas Spine Institute, we specialize in the diagnosis and treatment of thoracolumbar scoliosis in adults—an abnormal curvature where the mid-back (thoracic spine) meets the lower back (lumbar spine). This transitional zone is critical for spinal balance and mobility, and scoliosis here can lead to significant pain, nerve symptoms, and postural changes.

We treat patients 18 years and older using both nonoperative and surgical approaches, always tailored to your specific anatomy, symptoms, and goals.

What Is Thoracolumbar Scoliosis?

Thoracolumbar scoliosis can develop from:

  • Degenerative changes in the spine due to aging or arthritis
  • Progression of adolescent scoliosis into adulthood
  • Spinal trauma, surgery, or instability
  • Neuromuscular or congenital conditions

This type of scoliosis often causes:

  • Asymmetric posture or spinal imbalance
  • Back pain and fatigue from muscle strain
  • Nerve compression leading to numbness, tingling, or weakness in the legs
  • Difficulty standing upright or walking long distances

Nonoperative Management Tailored to You

At Atlas Spine Institute, we begin with a comprehensive evaluation that includes:

  • Advanced imaging (X-rays, MRI, CT) to precisely characterize the curve and spinal alignment
  • Assessment of pain, function, and daily activity limitations
  • Review of patient goals—whether it's returning to work, improving mobility, or reducing discomfort

Based on this, we may recommend:

  • Physical therapy focused on core strength and posture
  • Pain management including injections or medications
  • Bracing or support strategies
  • Lifestyle and ergonomic adjustments

Our goal is to help you maintain function and comfort without surgery whenever possible.

Surgical Options for Complex Thoracolumbar Curves

When nonoperative care is no longer effective, we offer advanced surgical solutions for thoracolumbar scoliosis, including:

  • Spinal reconstruction to restore alignment and balance
  • Decompression to relieve nerve pressure
  • Stabilization and fusion to prevent curve progression
  • Minimally invasive techniques when appropriate

We use precise imaging and imaging planning tools to customize the procedure, ensuring safety, durability, and optimal outcomes.

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If you're experiencing symptoms from thoracolumbar scoliosis, Atlas Spine Institute is here to help. From conservative care to complex reconstruction, we’ll guide you toward relief and restored function, with a plan built just for you.