History
A 33 year old female with a history of scoliosis diagnosed in adolescence presented with complaints of severe, progressive lower back pain and left lower extremity pain, numbness and tingling.
Non-operative treatment included: activity modification, physical therapy, therapeutic massage, chiropractic manipulation, oral pain medications (including NSAIDs and narcotics), and epidural steroid injections.
Examination
On examination, she was found to have a scoliotic deformity, lumbar spinal rotation, uneven shoulder height (left slightly higher than right) and positive sciatic nerve stretch testing of the left lower extremity.
Scoliosis radiographs revealed a high magnitude adult scoliotic deformity with progression. At the time of presentation her L1 to L4 left lumbar curve measured 58 degrees and her lumbar lordosis from L1 to L5 measured 30 degrees.
