title: Management of a 59-year-old female patient with adult degenerative scoliosis using manipulation under anesthesia.
abstract: OBJECTIVE
  Manipulation under anesthesia (MUA) is an outpatient procedure that is performed to restore normal joint kinematics and musculoskeletal function. This article presents a case of a patient with idiopathic lumbar degenerative scoliosis who developed intractable pain as an adult and reports on the outcomes following a trial of MUA.
  
  
  METHODS
  A 59-year-old female patient presented to a chiropractic office with primary subjective symptoms of lower back and bilateral hip pain. Numerical pain rating scores were reported at 8 of 10 for the lower back and 9 of 10 for the sacroiliac joint/gluteal region. A disability score using a functional rating index demonstrated a score of 26 of 40 (or 64% disability). Over the preceding 5 years, the patient had tried a number of conservative therapies to relieve her pain without success.
  
  
  RESULTS
  The patient was evaluated for MUA. The patient was scheduled for a serial MUA over 3 days. Numerical pain rating scores 8 weeks after the MUA were 1 of 10 for the lower back and 3 of 10 for the sacroiliac joint. Her disability rating decreased to 11 of 40 (28%). Radiological improvements were also observed. These outcomes were maintained at 6-month follow-up.
  
  
  CONCLUSIONS
  Pain, functional, and radiographic outcomes demonstrated improvements immediately following treatment for this patient.
authors.affiliation: Private Chiropractic Practice, Grand Blanc, MI 48439.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Morningstar
authors.forename: Megan N
authors.initials: MN
authors.lastname: Strauchman