[Scoliosis in adulthood: a constant evolution]

Scoliosis in adulthood : a constant evolution. Scoliosis are increasing after the end of growth. The average rate of worsening is one degree per year for a scoliosis beyond 30°. Well tolered during young adulthood, the scoliosis become symptomatic over 40 years with back pain, radiculalgia, aesthaetic and functionnal discomfort. Severe form could lead to respiratory insufficency. Adolescents and young adults, after surgery, have, most often, a normal life. Neurological complications, severe and exceptional shall be discussed. Over 50 years, the rate of surgical complications increase with long fusion often required and a less robust bone. The knowledge of scoliosis natural evolution and studies about long term surgical results allow the choice between medical treatment and surgery. To establish a prognosis, scoliosis over 20° should be monitored with X-rays, each five years.