Imaging and Management of Scoliosis-Related Low Back Pain in Adolescents and Adults

Background/Objectives: Low back pain (LBP) is a clinically relevant symptom in adolescents and adults with scoliosis, but its relationship with curve magnitude is inconsistent, and curve measurement alone therefore cannot explain symptom burden or direct pain management. This narrative review examines imaging findings and clinically plausible mechanisms of scoliosis-related LBP, considered separately for adolescent idiopathic scoliosis, adult idiopathic scoliosis, adult degenerative scoliosis and adult spinal deformity, and their implications for management.