Many cases of degenerative scoliosis have no presenting symptoms, and will commonly be treated without surgery. Physical therapy is very helpful in training patients to live with their condition, and aquatic exercises can allow for a healthy level of activity without putting much stress on the spine. In painful cases, medications such as NSAID pain relievers or steroid injections may be necessary to achieve relief.
Surgical therapy for degenerative scoliosis is usually decompression surgery with or without fusion. Most procedures will involve fusion, in which the disc between vertebrae is removed and bone grafts with metal hardware are used to stabilize the vertebrae and allow them to grow together. Decompression also entails the removal of some bone tissue to reduce pressure on underlying structures, relieving the pain and radiculopathy associated with these cases.