NARRATIVE REVIEWAdult Degenerative ScoliosisGraham, Randall B. MD; Sugrue, Patrick A. MD; Koski, Tyler R. MDAuthor Information Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL The authors declare no conflict of interest. Reprints: Patrick A. Sugrue, MD, Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, 676 N. St Clair, Suite 2210, Chicago, IL 60611 (e-mail: firstname.lastname@example.org). Received December 30, 2015 Accepted January 12, 2016 Clinical Spine Surgery: April 2016 - Volume 29 - Issue 3 - p 95-107 doi: 10.1097/BSD.0000000000000367 Buy Metrics Abstract The treatment of adult degenerative scoliosis begins in the outpatient setting when evaluating a patient both radiographically. Assessing the flexibility of the deformity is essential in determining what techniques will be required to achieve the goals of correction. Ultimately the surgeon’s comfort and experience and the patient’s medical risk stratification determine the strategy needed to address either a focal pathology or ultimate deformity correction. © 2016 by Lippincott Williams & Wilkins, Inc.