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Background and Objectives: Adult patients with late-onset idiopathic scoliosis (LIS) presents with cosmetic concerns, back pain, muscle fatigue and the psychological effects of living with a visible deformity. The purpose of this study was to evaluate the effectiveness of modified thoracolumbosacral orthosis on adult female patient with LIS who had been suffering from chronic back pain still refusing for spinal surgery.
Case Report: A 27-year-old female patient clinically diagnosed with late onset left LIS with apex at T8 level reported to our institute for spinal rehabilitation with orthotic management. She was completely examined for radiographic findings and treated with physiotherapy and modified thoracolumbosacral orthosis with anterior corset and turn buckle device for gradual correction of deformity and spinal alignment. At a 12-month follow-up, the patient no longer suffered from daily low back pain (LBP) (with heavy lifting only) and was fully active. Additionally, her post intervention radiographs showed an improvement in left thoracic scoliosis and coronal balance. 
Conclusion: This study suggests that the new modified custom-made design of spinal orthosis may be effective in the management of adult LIS and it represents an acceptable alternative to surgery for patients who refused for surgery.
 

Keywords: Orthosis, Adult Scoliosis, Idiopathic, Thoracolumbosacral, Physiotherapy, Spine

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