I suffered for 20 years until I met the best orthopedic surgeon! Had surgery immediately. (7 years ago). I got my life back and my pain disappeared. But what is best is my nerve roots were no longer being crushed. If you don't consider your nerve roots you may be causing irreparable damage. I have that and its unfortunate because I would have done the surgery earlier if I wasn't at a neurologist who was inappropriate for my needs. My scoliosis IS continuing to degenerate along with the rest of my spine. I had a double cervical spine surgery two years ago. I am super happy with my choices because I can continue to exercise and keep my body strong. I am looking at another surgery around the lumbar one, in the next few years, "but bring it!" the right doctor is key. I am 68. Waiting too long may not be in your best interests so you should talk about it with your surgeon as much as you need to to make a decision best suites your body and lifestyle.