Recently, I have been seeing more and more elderly patients with low back pain who have varying degrees of degenerative scoliosis (curvature). When I tell patients about the disease, most of them look confused and have never heard of such a disease. I’ll explain what degenerative scoliosis means. Degenerative scoliosis is a curvature of the spine to the side during the process of degeneration. The vast majority of degenerative scoliosis occurs in the lumbar segment of the spine, where the Cobb angle (scoliosis angle) is greater than 10° on an orthogonal (coronal) radiograph. This condition is commonly seen in middle-aged and older adults. The causes of degenerative scoliosis are not well understood; age-related osteoporosis, degenerative disc changes, intervertebral joint osteoarthritis, limited endplate fractures or asymmetric compression fractures of the vertebral body, and degenerative spinal slippage may contribute to the development of degenerative scoliosis.